Active NPI
Daniel S Villegas, RPH
- Nuclear Pharmacist
- Lakewood, WA
National Provider Identifier
1467412387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- PH00011527
- Practice address
- 10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036 - Phone
- (253) 589-7190
- Fax
- (253) 284-4385
- NPI assigned
- Mar 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00011527 | WA | |
| Nuclear Pharmacist | 1835N0905X | PH00011527 | WA | Primary |
Addresses
Primary practice location
10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036
Mailing address
3626 68TH Ave W
University Place, WA 98466-5118
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH00011527 | WA | MD | Nuclear Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467412387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 68TH AVE W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984665118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10510 GRAVELLY LAKE DR SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984995036",
"telephone_number": "253-589-7190",
"fax_number": "253-284-4385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "DANIEL",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00011527",
"primary": false
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "WA",
"license": "PH00011527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.