Active NPI
Sandra L Demarest, R.PH.
- Pharmacist
- Morton, WA
National Provider Identifier
1023368024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009457
- Practice address
- 377 South 2ND St.
Morton, WA 98356 - Phone
- (360) 496-5902
- Fax
- (360) 496-3215
- NPI assigned
- Sep 17, 2012
- Last updated
- Sep 17, 2012
- Sex
- Female
- 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 | PH00009457 | WA | Primary |
Addresses
Primary practice location
377 South 2ND St.
Morton, WA 98356
Mailing address
PO Box 1139
Morton, WA 98356-0020
Phone (360) 496-5902
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009457 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demarest Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1023368024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1139",
"city": "MORTON",
"state": "WA",
"postal_code": "983560020",
"telephone_number": "360-496-5902",
"fax_number": "360-496-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 SOUTH 2ND ST.",
"city": "MORTON",
"state": "WA",
"postal_code": "98356",
"telephone_number": "360-496-5902",
"fax_number": "360-496-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAREST",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.