Active NPI
Tracy Zarling
- Geriatric Pharmacist
- Vancouver, WA
National Provider Identifier
1154779494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- PH00019446
- Practice address
- 12606 NE 95TH St
Vancouver, WA 98682-2398 - Phone
- (360) 260-7156
- Fax
- (360) 260-7237
- NPI assigned
- May 26, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | PH00019446 | WA | Primary |
Addresses
Primary practice location
12606 NE 95TH St
Vancouver, WA 98682-2398
Mailing address
12606 NE 95TH St
Vancouver, WA 98682-2398
Phone (360) 260-7156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00019446 | WA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1154779494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12606 NE 95TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986822398",
"telephone_number": "360-260-7156",
"fax_number": "360-260-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12606 NE 95TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986822398",
"telephone_number": "360-260-7156",
"fax_number": "360-260-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARLING",
"first_name": "TRACY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "WA",
"license": "PH00019446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.