Active NPI
Thanyaporn Threerawankongsiri
- Pharmacist
- Puyallup, WA
National Provider Identifier
1255731238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00020749
- Practice address
- 16502 Meridian E
Puyallup, WA 98375-2515 - Phone
- (253) 446-1754
- NPI assigned
- Aug 27, 2014
- Last updated
- Aug 27, 2014
- 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 | PH00020749 | WA | Primary |
Addresses
Primary practice location
16502 Meridian E
Puyallup, WA 98375-2515
Mailing address
16502 Meridian E
Puyallup, WA 98375-2515
Phone (253) 446-1754
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 |
|---|---|---|---|
| PH00020749 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1255731238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16502 MERIDIAN E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983752515",
"telephone_number": "253-446-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16502 MERIDIAN E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983752515",
"telephone_number": "253-446-1754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THREERAWANKONGSIRI",
"first_name": "THANYAPORN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00020749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
- Rebekah Thompson, ND
- Tammey Ellen Thompson, R.N.
- Christiane D Thomsen
- Trisha Ann Thorson
- Thoughtful Counseling Group (Thoughtful Counseling Group & Associates)
- Thrifty Payless Inc (Rite Aid Pharmacy 05264)
- Thrifty Payless Inc (Rite Aid Pharmacy 05262)
- Thrifty Payless Inc (Rite Aid Pharmacy 06232)
- John R Throckmorton, LMFT
- Michelle Margaret Hanway Thurman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.