Active NPI
Eliza Deguzman, PHARMD
- Ambulatory Care Pharmacist
- Olympia, WA
National Provider Identifier
1275995409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PH 00039667
- Practice address
- 410 Providence LN NE
Emilie Gamelin Pavilion
Olympia, WA 98506-6927 - Phone
- (360) 493-5369
- NPI assigned
- Mar 26, 2016
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PH 00039667 | WA | Primary |
Addresses
Primary practice location
410 Providence LN NE
Emilie Gamelin Pavilion
Olympia, WA 98506-6927
Mailing address
410 Providence LN NE
Emilie Gamelin Pavilion
Olympia, WA 98506-6927
Phone (360) 493-5369
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 |
|---|---|---|---|
| PH 00039667 | WA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458950400000",
"number": "1275995409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 PROVIDENCE LN NE",
"address_2": "EMILIE GAMELIN PAVILION",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066927",
"telephone_number": "360-493-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 PROVIDENCE LN NE",
"address_2": "EMILIE GAMELIN PAVILION",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066927",
"telephone_number": "360-493-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGUZMAN",
"first_name": "ELIZA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-26",
"last_updated": "2016-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "WA",
"license": "PH 00039667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.