NPIMap

Individual provider Active NPI

Zeina Estaitie

  • Pharmacist
  • Monroe, WA
National Provider Identifier
1477844546
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60188131 Issued in WA
Practice address
18906 State Route 2
Monroe, WA 98272-1415
Phone
(360) 794-0943
NPI assigned
Apr 25, 2011
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60188131 WA Primary
Pharmacist 183500000X 051292400 IL
Pharmacist 183500000X PS40078 FL

Addresses

Primary practice location

18906 State Route 2
Monroe, WA 98272-1415

Mailing address

18906 State Route 2
Monroe, WA 98272-1415
Phone (360) 794-0943

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

State licenses

LicenseStateTypeSpecialty
PS40078FLMDPharmacist
051292400ILMDPharmacist
PH60188131WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1477844546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18906 STATE ROUTE 2",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721415",
            "telephone_number": "360-794-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18906 STATE ROUTE 2",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721415",
            "telephone_number": "360-794-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTAITIE",
        "first_name": "ZEINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60188131",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292400",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS40078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.