Active NPI
Dianna Louise Hines, PHARM.D.
- Pharmacist
- Clarkston, WA
National Provider Identifier
1144985672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61181115
- Practice address
- 800 6TH St
Clarkston, WA 99403-2013 - Phone
- (509) 758-2565
- NPI assigned
- Oct 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PH61181115 | WA | Primary |
Addresses
Primary practice location
800 6TH St
Clarkston, WA 99403-2013
Mailing address
825 SW Dominic CT
Pullman, WA 99163-5889
Phone (509) 342-5252
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 |
|---|---|---|---|
| PH61181115 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635638400000",
"number": "1144985672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 SW DOMINIC CT",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635889",
"telephone_number": "509-342-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032013",
"telephone_number": "509-758-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "DIANNA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-31",
"last_updated": "2021-10-31",
"certification_date": "2021-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61181115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.