Individual provider Active NPI

Alesya Vlasenko, PHARMD

  • Pharmacist
  • Tacoma, WA
National Provider Identifier
1104016880
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
IR00056067 Issued in WA
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

LicenseStateTypeSpecialty
IR00056067WAMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IR00056067 WA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.