Fadi Nassaneh

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60401447 Issued in WA

Practice address

721 S Auburn St
Kennewick, WA 99336-5629

Phone

(509) 547-2204

Fax

(509) 542-8836

NPI assigned

Nov 22, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1225145105
  NPD (past)
• Tri-Cities Community Health

  • Community/Retail Pharmacy
  • Richland, WA
  • NPI 1457868556
  NPD (past)
• Tri-Cities Community Health

  • Community/Retail Pharmacy
  • Kennewick, WA
  • NPI 1730696832
  NPD (past)
• Walgreen Co.

  • Pharmacy
  • Richland, WA
  • NPI 1912953225
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1073943379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011223",
            "telephone_number": "509-547-2204",
            "fax_number": "509-542-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365629",
            "telephone_number": "509-547-2204",
            "fax_number": "509-542-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSANEH",
        "first_name": "FADI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60401447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolaos Myriounis, MD
• Gabrielle Naccarato, RD
• Fumihiko Nakamura, MD
• Kristy Nardozzi, SUDP
• Eric Austin Jordan Nash, NP
• National Seating & Mobility, Inc.
• National Vision, Inc.
• Getsemani Navarro
• Navdeep S Virk DDS PLLC
• Corey Nay, D.C.

• Pharmacist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.