Active NPI
Daniel Tin Ma, PHARMD
- Pharmacist
- Neah Bay, WA
National Provider Identifier
1003374679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60854360
- Practice address
- 250 Fort St
Neah Bay, WA 98357-4003 - Phone
- (360) 645-2445
- NPI assigned
- Mar 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60854360 | WA | Primary |
Addresses
Primary practice location
250 Fort St
Neah Bay, WA 98357-4003
Mailing address
4481 Currant LN SW
Port Orchard, WA 98367-4557
Phone (626) 512-5181
Other practice location 1
13020 31st Ave NE
Seattle, WA 98125-4434
Phone (626) 512-5181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60854360 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1003374679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4481 CURRANT LN SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983674557",
"telephone_number": "626-512-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FORT ST",
"city": "NEAH BAY",
"state": "WA",
"postal_code": "983574003",
"telephone_number": "360-645-2445"
}
],
"practiceLocations": [
{
"address_1": "13020 31st Ave NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981254434",
"country_code": "US",
"telephone_number": "626-512-5181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MA",
"first_name": "DANIEL",
"middle_name": "TIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-03",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60854360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neah Bay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.