Active NPI
Tarik Chmait
- Pharmacist
- Vancouver, WA
National Provider Identifier
1174894117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00056975
- Practice address
- 5000 E Fourth Plain Blvd
Vancouver, WA 98661-6584 - Phone
- (360) 693-5030
- Fax
- (360) 693-6936
- NPI assigned
- Jan 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00056975 | WA | Primary |
| Pharmacist | 183500000X | 0010968 | OR |
Addresses
Primary practice location
5000 E Fourth Plain Blvd
Vancouver, WA 98661-6584
Mailing address
5000 E Fourth Plain Blvd
Vancouver, WA 98661-6584
Phone (360) 693-5030
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 |
|---|---|---|---|
| 0010968 | OR | MD | Pharmacist |
| PH00056975 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1174894117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 E FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986616584",
"telephone_number": "360-693-5030",
"fax_number": "360-693-6936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 E FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986616584",
"telephone_number": "360-693-5030",
"fax_number": "360-693-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHMAIT",
"first_name": "TARIK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00056975",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0010968",
"primary": false
}
],
"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 Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.