Active NPI
Cass Cameron Conitz, PHARM. D.
- Pharmacotherapy Pharmacist
- Tacoma, WA
National Provider Identifier
1356494611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH00041992
- Practice address
- 1717 S J St
Main Pharmacy
Tacoma, WA 98405-4933 - Phone
- (253) 426-6692
- Fax
- (253) 426-4949
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH00041992 | WA | Primary |
Addresses
Primary practice location
1717 S J St
Main Pharmacy
Tacoma, WA 98405-4933
Mailing address
1717 S J St
Ms 01-79
Tacoma, WA 98405-4933
Phone (253) 426-6692
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 |
|---|---|---|---|
| PH00041992 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1356494611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 S J ST",
"address_2": "MS 01-79",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054933",
"telephone_number": "253-426-6692",
"fax_number": "253-426-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S J ST",
"address_2": "MAIN PHARMACY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054933",
"telephone_number": "253-426-6692",
"fax_number": "253-426-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONITZ",
"first_name": "CASS",
"middle_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH00041992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
- Jewel Bernadeth Concepcion
- Concierge Children's Therapy PLLC
- Nicole Diana Conde, PHARMD
- Christopher Stirling Condit, CDMS
- Hannah Joy Condreay, MA
- Nicholas Zane Conley, MD
- Lisa Rose Conlon-Brown, LMP
- Peter Conn, DPT
- Connectionswa-Pierce LLC (Connections Health Solutions Washington)
- Connectionswa-Pierce LLC (Connections Health Solutions Washington)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.