Individual provider Active NPI

Angelica Mercedes Pauley, PHARMD.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Ocean Shores, WA
National Provider Identifier
1366582595
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PH65779 Issued in WA
Practice address
Ocean Shores Pharmacy
121 E. Chance-a-la-Mer
Ocean Shores, WA 98569
Phone
(360) 289-4647
Fax
(360) 289-3812
NPI assigned
Feb 7, 2007
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00065779 WA
Pharmacist 183500000X PH65779 WA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH65779 WA Primary

Addresses

Primary practice location

Ocean Shores Pharmacy
121 E. Chance-a-la-Mer
Ocean Shores, WA 98569

Mailing address

8315 Normandy St SE Unit 63
East Olympia, WA 98540-1002

Other names 1

  • Mrs. Angelica Mercedes Pauley Former name

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

LicenseStateTypeSpecialty
PH00065779WAMDPharmacist
PH65779WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1366582595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 NORMANDY ST SE UNIT 63",
            "city": "EAST OLYMPIA",
            "state": "WA",
            "postal_code": "985401002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OCEAN SHORES PHARMACY",
            "address_2": "121 E. CHANCE-A-LA-MER",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "98569",
            "telephone_number": "360-289-4647",
            "fax_number": "360-289-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "ANGELICA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00065779",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH65779",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH65779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "PAULEY",
            "middle_name": "MERCEDES",
            "prefix": "MRS.",
            "credential": "PHARMD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocean Shores, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.