Heather Timara Beugli – Pharmacist in Camas, WA

Key facts

NPI: 1487422671
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 61321218 (WA)
Practice address: 19610 SE 1St St
Camas, WA 98607-7472
Phone: (360) 258-6230
NPI assigned: Dec 18, 2023
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
0019094	OR	MD	Pharmacist
61321218	WA	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	0019094	OR
Pharmacist	183500000X	61321218	WA	Yes

Addresses

Primary practice location

19610 SE 1St St
Camas, WA 98607-7472

Mailing address

19610 SE 1St St
Camas, WA 98607-7472
Phone (360) 258-6230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 18, 2023.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1487422671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19610 SE 1ST ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077472",
            "telephone_number": "360-258-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19610 SE 1ST ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077472",
            "telephone_number": "360-258-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUGLI",
        "first_name": "HEATHER",
        "middle_name": "TIMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0019094",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "61321218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

All providers in Camas, WA · Pharmacist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.