Active NPI
Hosna Sadat Tabatabaifar, PHARMD
- Pharmacist
- Everett, WA
National Provider Identifier
1316617780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61185630
- Practice address
- 1715 Broadway
Everett, WA 98201-2346 - Phone
- (425) 339-9448
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 61185630 | WA | Primary |
Addresses
Primary practice location
1715 Broadway
Everett, WA 98201-2346
Mailing address
4322 Alegre Way
Davis, CA 95618-7130
Phone (530) 902-9517
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 |
|---|---|---|---|
| 61185630 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Pharmacy
- Shoreline, WA
- NPI 1316954217
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1316617780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4322 ALEGRE WAY",
"city": "DAVIS",
"state": "CA",
"postal_code": "956187130",
"telephone_number": "530-902-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982012346",
"telephone_number": "425-339-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABATABAIFAR",
"first_name": "HOSNA",
"middle_name": "SADAT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-10-26",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WA",
"license": "61185630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.