Active NPI
Louisa Mae Dubois, PHARM D
- Pharmacist
- Puyallup, WA
National Provider Identifier
1235361171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60091758
- Practice address
- 2622 S Meridian
Puyallup, WA 98373-1500 - Phone
- (253) 697-2801
- Fax
- (253) 770-5175
- NPI assigned
- Aug 11, 2009
- 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 | PH60091758 | WA | Primary |
Addresses
Primary practice location
2622 S Meridian
Puyallup, WA 98373-1500
Mailing address
1004 S 63Rd St
Tacoma, WA 98408-3311
Phone (253) 238-5265
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 |
|---|---|---|---|
| PH60091758 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1235361171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 S 63RD ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984083311",
"telephone_number": "253-238-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731500",
"telephone_number": "253-697-2801",
"fax_number": "253-770-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "LOUISA",
"middle_name": "MAE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60091758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.