Active NPI
Hayde Blanco
- Pharmacist
- Richland, WA
National Provider Identifier
1215406145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0016898
- Practice address
- 2941 Queensgate Dr
Richland, WA 99352 - Phone
- (509) 627-7501
- NPI assigned
- Nov 20, 2018
- 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 | 0016898 | OR | Primary |
Addresses
Primary practice location
2941 Queensgate Dr
Richland, WA 99352
Mailing address
2941 Queensgate Dr
Richland, WA 99352-9101
Phone (509) 627-7501
Other practice location 1
4041 NW Logan Rd
Lincoln City, OR 97367-5054
Phone (541) 994-6262
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 |
|---|---|---|---|
| 0016898 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lincoln City, OR
- NPI 1235145541
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1215406145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2941 QUEENSGATE DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529101",
"telephone_number": "509-627-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2941 QUEENSGATE DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-627-7501"
}
],
"practiceLocations": [
{
"address_1": "4041 NW Logan Rd",
"address_purpose": "LOCATION",
"city": "Lincoln City",
"state": "OR",
"postal_code": "973675054",
"country_code": "US",
"telephone_number": "541-994-6262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANCO",
"first_name": "HAYDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0016898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.