Individual provider Active NPI

Patricia Tuyet Sagadiev, RPH

  • Pharmacist
  • Port Angeles, WA
National Provider Identifier
1134349574
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60568836 Issued in WA
Practice address
424 E 2ND St
Port Angeles, WA 98362-3119
Phone
(360) 452-4200
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16248 MD
Pharmacist 183500000X 18609 CO
Pharmacist 183500000X PH60568836 WA Primary

Addresses

Primary practice location

424 E 2ND St
Port Angeles, WA 98362-3119

Mailing address

1210 E 2ND St
Post Angeles, WA 98362
Phone (301) 807-4016

Other names 1

  • Patricia Tuyet Nguyen Former name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
16248MDMDMental Health Counselor
18609COMDPharmacist
PH60568836WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1134349574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E 2ND ST",
            "city": "POST ANGELES",
            "state": "WA",
            "postal_code": "98362",
            "telephone_number": "301-807-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E 2ND ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623119",
            "telephone_number": "360-452-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGADIEV",
        "first_name": "PATRICIA",
        "middle_name": "TUYET",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16248",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "18609",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60568836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "NGUYEN",
            "middle_name": "TUYET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.