Individual provider Active NPI

Charmaine Yevette Sanders, RPH

  • Pharmacist
  • Olympia, WA
National Provider Identifier
1427459635
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHARM-PH60329293 Issued in WA
Practice address
305 Cooper Point Rd NW
Store #05278 Rite Aid
Olympia, WA 98502-4436
Phone
(360) 754-8014
Fax
(360) 754-0778
NPI assigned
Sep 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHARM-PH60329293 WA Primary
Pharmacist 183500000X E-08017 MS

Addresses

Primary practice location

305 Cooper Point Rd NW
Store #05278 Rite Aid
Olympia, WA 98502-4436

Mailing address

305 Cooper Point Rd NW
Store #05278 Rite Aid
Olympia, WA 98502-4436
Phone (360) 754-8014

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
E-08017MSMDPharmacist
PHARM-PH60329293WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410048000000",
    "number": "1427459635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COOPER POINT RD NW",
            "address_2": "STORE #05278 RITE AID",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024436",
            "telephone_number": "360-754-8014",
            "fax_number": "360-754-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COOPER POINT RD NW",
            "address_2": "STORE #05278 RITE AID",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024436",
            "telephone_number": "360-754-8014",
            "fax_number": "360-754-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CHARMAINE",
        "middle_name": "YEVETTE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-07",
        "last_updated": "2014-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PHARM-PH60329293",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-08017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.