Individual provider Active NPI

Tonya M Laslo, PHARMD.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Gig Harbor, WA
National Provider Identifier
1174742084
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PH00050800 Issued in WA
Practice address
14218 92ND Ave NW
Gig Harbor, WA 98329-8710
Phone
(253) 857-7797
Fax
(253) 857-7679
NPI assigned
Apr 25, 2007
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00050800 WA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH00050800 WA Primary
Ambulatory Care Pharmacist 1835P2201X PH00050800 WA

Addresses

Primary practice location

14218 92ND Ave NW
Gig Harbor, WA 98329-8710

Mailing address

14218 92ND Ave NW
Gig Harbor, WA 98329-8710
Phone (253) 857-7797

Other identifiers 1

IdentifierTypeStateIssuer
WAPH00050800OtherWAPHARMACIST LICENSE

Other names 1

  • Tonya M Vance 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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH00050800WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Purdy Pharmacy Inc CurrentSince Jul 17, 2022 Accepting new patients
Purdy Pharmacy Inc PastSince Jul 17, 2022 Accepting new patients

Locations

14218 92nd Ave NW
Gig Harbor, WA 98329
Phone (253) 857-7677

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1174742084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14218 92ND AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983298710",
            "telephone_number": "253-857-7797",
            "fax_number": "253-857-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14218 92ND AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983298710",
            "telephone_number": "253-857-7797",
            "fax_number": "253-857-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASLO",
        "first_name": "TONYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00050800",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH00050800",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WA",
            "license": "PH00050800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "WAPH00050800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "VANCE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.