Emerald Titan Holdings Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.6079962 Issued in WA

Legal business name

EMERALD TITAN HOLDINGS INC

Practice address

7311 40TH St W
University Place, WA 98466-4316

Phone

(253) 448-2460

Fax

(253) 507-8621

NPI assigned

Apr 3, 2018

Last updated

Apr 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlo CadizNPI 1003162967

Title

Pharmacist

Phone

(732) 322-2931

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• UP Pharmacy Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlo Cadiz, RPH

  • Pharmacist
  • Tacoma, WA
  • NPI 1003162967
  Authorized official Same address or phone

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1295231736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 40TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664316",
            "telephone_number": "253-448-2460",
            "fax_number": "253-507-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 40TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664316",
            "telephone_number": "253-448-2460",
            "fax_number": "253-507-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD TITAN HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "CADIZ",
        "authorized_official_first_name": "CARLO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "732-322-2931"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.6079962",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UP Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marnee Lynn Ellis, LMP
• Ashley Elynn Elmer, LMP
• Almar May Alba Elmore, MAED, CCC-SLP
• Addison Marie Emberson, MSP
• Emerald City Behavioral Health (Emerald City Youth)
• Jazzmin D England
• Erin C Eramia, LMHC
• Jodi Anne Erickson, PHD RN
• Rosella J Erickson, LMT
• Erin Dwyer Consulting, Inc. (Core Counseling NW)

• Community/Retail Pharmacy in University Place, WA
• Providers in University Place, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.