Individual provider Active NPI

Abdirahman Ahmed Tache, PHARMD

  • Pharmacist
  • Federal Way, WA
National Provider Identifier
1134529134
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00068999 Issued in WA
Practice address
34520 16TH Ave S
Federal Way, WA 98003-6802
Phone
(253) 835-4976
Fax
(253) 835-4979
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00068999 WA Primary

Addresses

Primary practice location

34520 16TH Ave S
Federal Way, WA 98003-6802

Mailing address

34520 16TH Ave S
Federal Way, WA 98003-6802
Phone (253) 835-4976

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
PH00068999WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Salaam Health PLLC Current Accepting new patients
Salaam Health PLLC Current 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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1134529134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34520 16TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036802",
            "telephone_number": "253-835-4976",
            "fax_number": "253-835-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34520 16TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036802",
            "telephone_number": "253-835-4976",
            "fax_number": "253-835-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHE",
        "first_name": "ABDIRAHMAN",
        "middle_name": "AHMED",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00068999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.