Active NPI
Tracy Shiflett, R.PH.
- Pharmacist
- Spokane, WA
National Provider Identifier
1487938478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00052281
- Practice address
- 2820 N Astor St
Spokane, WA 99207-2112 - Phone
- (509) 838-4826
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | PH00052281 | WA | |
| Pharmacist | 183500000X | PH00052281 | WA | Primary |
| Pharmacist | 183500000X | 31818 | TX |
Addresses
Primary practice location
2820 N Astor St
Spokane, WA 99207-2112
Mailing address
2820 N Astor St
Spokane, WA 99207-2112
Phone (509) 838-4826
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 |
|---|---|---|---|
| 31818 | TX | MD | School Psychologist |
| PH00052281 | WA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1487938478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 N ASTOR ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992072112",
"telephone_number": "509-838-4826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 N ASTOR ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992072112",
"telephone_number": "509-838-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIFLETT",
"first_name": "TRACY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "WA",
"license": "PH00052281",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00052281",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31818",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.