Active NPI
Van Tuong Quach, PHARMD
- Pharmacist
- Des Moines, WA
National Provider Identifier
1194273706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60661107
- Practice address
- 23003 Pacific Hwy S
Des Moines, WA 98198-7269 - Phone
- (206) 870-1832
- Fax
- (206) 870-1844
- NPI assigned
- Sep 13, 2016
- Last updated
- Jul 23, 2019
- Sex
- Female
- 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 | PH60661107 | WA | Primary |
Addresses
Primary practice location
23003 Pacific Hwy S
Des Moines, WA 98198-7269
Mailing address
5847 NE 75TH St # A220
Seattle, WA 98115-8105
Phone (206) 653-5138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60661107 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60661107 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
23003 Pacific Hwy S
Des Moines, WA 98198
Phone (206) 870-1832
Organizations & group practices 3
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": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1194273706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5847 NE 75TH ST # A220",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158105",
"telephone_number": "206-653-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23003 PACIFIC HWY S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981987269",
"telephone_number": "206-870-1832",
"fax_number": "206-870-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACH",
"first_name": "VAN",
"middle_name": "TUONG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60661107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "PH60661107",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.