Active NPI
Andrea Kaaland, PHARM.D.
- Pharmacist
- Mount Vernon, WA
National Provider Identifier
1104127570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00020224
- Practice address
- 315 E College Way
Mount Vernon, WA 98273-5431 - Phone
- (360) 424-0467
- Fax
- (360) 424-0427
- NPI assigned
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00020224 | WA | Primary |
Addresses
Primary practice location
315 E College Way
Mount Vernon, WA 98273-5431
Mailing address
315 E College Way
Mount Vernon, WA 98273-5431
Phone (360) 424-0467
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 |
|---|---|---|---|
| PH00020224 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1104127570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E COLLEGE WAY",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735431",
"telephone_number": "360-424-0467",
"fax_number": "360-424-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E COLLEGE WAY",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982735431",
"telephone_number": "360-424-0467",
"fax_number": "360-424-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAALAND",
"first_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00020224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.