Individual provider Active NPI

Fabiano Carvalho Sansao, PHARMACIST

  • Pharmacist
  • Othello, WA
National Provider Identifier
1235379637
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60026230 Issued in WA
Practice address
1860 E Main St
Othello, WA 99344-1578
Phone
(509) 488-9324
NPI assigned
Feb 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60026230 WA Primary

Addresses

Primary practice location

1860 E Main St
Othello, WA 99344-1578

Mailing address

10213 8TH Ave SW
Seattle, WA 98146-1403
Phone (206) 313-8673

Other practice location 1

6600 W Nob Hill Blvd
Yakima, WA 98908-1976
Phone (509) 966-3814

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

LicenseStateTypeSpecialty
PH60026230WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1235379637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10213 8TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461403",
            "telephone_number": "206-313-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 E MAIN ST",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441578",
            "telephone_number": "509-488-9324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 W Nob Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989081976",
            "country_code": "US",
            "telephone_number": "509-966-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANSAO",
        "first_name": "FABIANO",
        "middle_name": "CARVALHO",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60026230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Othello, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.