Active NPI
Alfredo Moreno Alvarez
- Pharmacist
- Yakima, WA
National Provider Identifier
1043789803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60868283
- Practice address
- 2601 Commerce LN
Yakima, WA 98901-5801 - Phone
- (886) 983-9279
- Fax
- (877) 856-9819
- NPI assigned
- Nov 21, 2018
- 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 | 183500000X | RPH-0017270 | OR | |
| Pharmacist | 183500000X | PH60868283 | WA | Primary |
Addresses
Primary practice location
2601 Commerce LN
Yakima, WA 98901-5801
Mailing address
2601 Commerce LN
Yakima, WA 98901-5801
Phone (886) 983-9279
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0017270 | OR | MD | Pharmacist |
| PH60868283 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1043789803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 COMMERCE LN",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989015801",
"telephone_number": "886-983-9279",
"fax_number": "877-856-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 COMMERCE LN",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989015801",
"telephone_number": "886-983-9279",
"fax_number": "877-856-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO ALVAREZ",
"first_name": "ALFREDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-21",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0017270",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60868283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.