Active NPI
Alesya Vlasenko, PHARMD
- Pharmacist
- Tacoma, WA
National Provider Identifier
1104016880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IR00056067
- Practice address
- 4315 6TH Ave
Tacoma, WA 98406-4014 - Phone
- (253) 756-5159
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| IR00056067 | WA | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IR00056067 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4315 6TH Ave
Tacoma, WA 98406-4014
Mailing address
PO Box 9205
Tacoma, WA 98490-0205
Phone (253) 677-1581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2007.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1104016880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9205",
"city": "TACOMA",
"state": "WA",
"postal_code": "984900205",
"telephone_number": "253-677-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064014",
"telephone_number": "253-756-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLASENKO",
"first_name": "ALESYA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR00056067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.