Active NPI
Carla Alldredge Allred
- Pharmacist
- Wapato, WA
National Provider Identifier
1073159901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00022153
- Practice address
- 633 W 1St St
Wapato, WA 98951-1107 - Phone
- (509) 584-0300
- Fax
- (509) 584-0302
- NPI assigned
- Nov 26, 2019
- 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 | PH00022153 | WA | Primary |
Addresses
Primary practice location
633 W 1St St
Wapato, WA 98951-1107
Mailing address
633 W 1St St
Wapato, WA 98951-1107
Phone (509) 584-0300
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 |
|---|---|---|---|
| PH00022153 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rd LLC | Past | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Wapato, WA
- NPI 1043635022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1073159901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 W 1ST ST",
"city": "WAPATO",
"state": "WA",
"postal_code": "989511107",
"telephone_number": "509-584-0300",
"fax_number": "509-584-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 W 1ST ST",
"city": "WAPATO",
"state": "WA",
"postal_code": "989511107",
"telephone_number": "509-584-0300",
"fax_number": "509-584-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "CARLA",
"middle_name": "ALLDREDGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00022153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wapato, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.