Individual provider Active NPI

Guy Dipasqua, R.PH.

  • Pharmacist
  • Bellingham, WA
National Provider Identifier
1346644259
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03212507 Issued in OH
Practice address
2211 Rimland Dr
Bellingham, WA 98226-5664
Phone
(360) 650-8204
Fax
(360) 752-6437
NPI assigned
Oct 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03212507 OH Primary

Addresses

Primary practice location

2211 Rimland Dr
Bellingham, WA 98226-5664

Mailing address

11594 174TH CT NE
Redmond, WA 98052-1639
Phone (425) 786-8798

Other identifiers 1

IdentifierTypeStateIssuer
362734OtherOHNABP

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03212507OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1346644259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11594 174TH CT NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980521639",
            "telephone_number": "425-786-8798",
            "fax_number": "360-752-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 RIMLAND DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265664",
            "telephone_number": "360-650-8204",
            "fax_number": "360-752-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPASQUA",
        "first_name": "GUY",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03212507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "362734",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.