Individual provider Active NPI

Julius Urbanavicius, PHARMD

  • Pharmacist
  • Washougal, WA
National Provider Identifier
1083207658
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61080500 Issued in WA
Practice address
3307 Evergreen Way Ste 5
Washougal, WA 98671-2063
Phone
(360) 335-2006
NPI assigned
Feb 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61080500 WA Primary
Pharmacist 183500000X 0018053 OR

Addresses

Primary practice location

3307 Evergreen Way Ste 5
Washougal, WA 98671-2063

Mailing address

3307 Evergreen Way Ste 5
Washougal, WA 98671-2063
Phone (360) 335-2006

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
0018053ORMDPharmacist
61080500WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Feb 1, 2021 Accepting new patients
Thrifty Payless Inc PastSince Feb 1, 2021 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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1083207658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY STE 5",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712063",
            "telephone_number": "360-335-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 EVERGREEN WAY STE 5",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712063",
            "telephone_number": "360-335-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANAVICIUS",
        "first_name": "JULIUS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-15",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "61080500",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0018053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.