Active NPI
Tai Dao, PHARMD
- Pharmacist
- Shoreline, WA
National Provider Identifier
1336478221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00022398
- Practice address
- 14510 Aurora Ave N
Shoreline, WA 98133-6525 - Phone
- (206) 361-8826
- Fax
- (306) 363-3512
- NPI assigned
- Dec 23, 2009
- Sex
- Male
- 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 | PH00022398 | WA | Primary |
Addresses
Primary practice location
14510 Aurora Ave N
Shoreline, WA 98133-6525
Mailing address
1215 NE 148TH St
Shoreline, WA 98155-7135
Phone (206) 306-9131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00022398 | Other | WA | WA STATE CREDENTIAL NUMBER |
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 |
|---|---|---|---|
| PH00022398 | 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.
-
- Pharmacy
- Shoreline, WA
- NPI 1316954217
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1336478221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 NE 148TH ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557135",
"telephone_number": "206-306-9131",
"fax_number": "206-363-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14510 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981336525",
"telephone_number": "206-361-8826",
"fax_number": "306-363-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAO",
"first_name": "TAI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00022398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE CREDENTIAL NUMBER",
"identifier": "PH00022398",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.