Active NPI
Salvador Camargo
- Pharmacist
- Ellensburg, WA
National Provider Identifier
1164077095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60477255
- Practice address
- 603 S Chestnut St
Ellensburg, WA 98926-3875 - Phone
- (509) 962-7420
- NPI assigned
- Aug 7, 2019
- Sex
- Male
- 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 | 60477255 | WA | Primary |
Addresses
Primary practice location
603 S Chestnut St
Ellensburg, WA 98926-3875
Mailing address
609 N Wenas St
Ellensburg, WA 98926-2859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60477255 | Other | WA | PHARMACY LICENCE |
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 |
|---|---|---|---|
| 60477255 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1164077095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 N WENAS ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989262859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S CHESTNUT ST",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263875",
"telephone_number": "509-962-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARGO",
"first_name": "SALVADOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-07",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60477255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENCE",
"identifier": "60477255",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.