Individual provider Active NPI

Robert Joseph Tomazic, PHARM.D.

  • Pharmacist
  • Omak, WA
National Provider Identifier
1083023279
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60473182 Issued in WA
Practice address
609 Omache Dr
Omak, WA 98841-9672
Phone
(509) 826-2608
NPI assigned
Aug 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60473182 WA Primary

Addresses

Primary practice location

609 Omache Dr
Omak, WA 98841-9672

Mailing address

609 Omache Dr
Omak, WA 98841-9672
Phone (509) 826-2608

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

LicenseStateTypeSpecialty
PH60473182WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1083023279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 OMACHE DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419672",
            "telephone_number": "509-826-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 OMACHE DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419672",
            "telephone_number": "509-826-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAZIC",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60473182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.