Active NPI
Charles To, PHARMD
- Pharmacist
- Federal Way, WA
National Provider Identifier
1053615484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60036741
- Practice address
- 34520 16TH Ave S
Federal Way, WA 98003-6802 - Phone
- (253) 835-4976
- NPI assigned
- Dec 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 051291756 | IL | |
| Pharmacist | 183500000X | PH60036741 | WA | Primary |
Addresses
Primary practice location
34520 16TH Ave S
Federal Way, WA 98003-6802
Mailing address
34520 16TH Ave S
Federal Way, WA 98003-6802
Phone (253) 835-4976
Other practice location 1
10712 SE Carr Rd
Renton, WA 98055-5826
Phone (425) 277-1040
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 |
|---|---|---|---|
| 051291756 | IL | MD | Pharmacist |
| PH60036741 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659744000000",
"number": "1053615484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34520 16TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036802",
"telephone_number": "253-835-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34520 16TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036802",
"telephone_number": "253-835-4976"
}
],
"practiceLocations": [
{
"address_1": "10712 SE Carr Rd",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555826",
"country_code": "US",
"telephone_number": "425-277-1040",
"fax_number": "425-277-7935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TO",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-28",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051291756",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60036741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.