Brandon W Tabor, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61189355 Issued in WA

Practice address

9218 151St Street CT E
Puyallup, WA 98375-6997

Phone

(253) 579-3528

NPI assigned

May 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1386218402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 151ST STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756997",
            "telephone_number": "253-579-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 151ST STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756997",
            "telephone_number": "253-579-3528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6618 S Echo Ridge St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992248489",
            "country_code": "US",
            "telephone_number": "253-579-3528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "BRANDON",
        "middle_name": "W",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "0000000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61189355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick L. Swendsen, D.C.
• Russell Craig Swensen, DDS
• Laura Sweredoski
• Lyndsey Switzer, P.A.
• Veronika Szreder, D.M.D.
• Kendra Tabor
• Tacoma School District
• Deborah Tafeaga
• Kevin W Taggart, MD
• Afshina Monique Taghizadeh

• Pharmacist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.