Active NPI
David Alan Proujan, R.PH
- Pharmacist
- Vancouver, WA
National Provider Identifier
1033416573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10378
- Practice address
- 9000 NE Highway 99
Vancouver, WA 98665-8923 - Phone
- (360) 571-2207
- Fax
- (360) 571-5480
- NPI assigned
- Feb 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0014156 | OR | |
| Pharmacist | 183500000X | 10378 | SC | Primary |
Addresses
Primary practice location
9000 NE Highway 99
Vancouver, WA 98665-8923
Mailing address
6708 NE 53Rd PL
Vancouver, WA 98661-1581
Phone (843) 817-3607
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 |
|---|---|---|---|
| 10378 | SC | MD | Pharmacist |
| 0014156 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1033416573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6708 NE 53RD PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986611581",
"telephone_number": "843-817-3607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 NE HIGHWAY 99",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986658923",
"telephone_number": "360-571-2207",
"fax_number": "360-571-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROUJAN",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "0014156",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.