Active NPI
Ryan Delacruz
- Pharmacist
- Federal Way, WA
National Provider Identifier
1184110751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60796249
- Practice address
- 2201 S Commons
Federal Way, WA 98003-6023 - Phone
- (253) 733-7521
- NPI assigned
- Jul 7, 2018
- 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 | PH60796249 | WA | Primary |
Addresses
Primary practice location
2201 S Commons
Federal Way, WA 98003-6023
Mailing address
229 Andover Park E Apt 902
Tukwila, WA 98188-2904
Phone (702) 756-4147
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 |
|---|---|---|---|
| PH60796249 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530921600000",
"number": "1184110751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 ANDOVER PARK E APT 902",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882904",
"telephone_number": "702-756-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S COMMONS",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036023",
"telephone_number": "253-733-7521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELACRUZ",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-07",
"last_updated": "2018-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60796249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.