Active NPI
Salim Pradhan, RPH
- Pharmacist
- Sedro Woolley, WA
National Provider Identifier
1174803407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60106742
- Practice address
- 851 Moore St
Sedro Woolley, WA 98284-1238 - Phone
- (360) 856-2153
- NPI assigned
- Aug 18, 2011
- Last updated
- Aug 18, 2011
- 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 | PH60106742 | WA | Primary |
Addresses
Primary practice location
851 Moore St
Sedro Woolley, WA 98284-1238
Mailing address
980 Crystal Court
Coquitlam, BC V3C5X5
CA
Phone (604) 469-4435
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60106742 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1174803407",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "980 CRYSTAL COURT",
"city": "COQUITLAM",
"state": "BC",
"postal_code": "V3C5X5",
"telephone_number": "604-469-4435",
"fax_number": "604-469-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 MOORE ST",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982841238",
"telephone_number": "360-856-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "SALIM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60106742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.