Active NPI
Michelle Carmelle Rosa
- Pharmacy Technician
- Tacoma, WA
National Provider Identifier
1497551154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- VA61645257
- Practice address
- 4315 6TH Ave
Tacoma, WA 98406-4014 - Phone
- (253) 314-2660
- NPI assigned
- Feb 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | VA61645257 | WA | Primary |
Addresses
Primary practice location
4315 6TH Ave
Tacoma, WA 98406-4014
Mailing address
3802 N 27TH St
Tacoma, WA 98407-5813
Phone (253) 283-5074
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
| License | State | Type | Specialty |
|---|---|---|---|
| VA61645257 | WA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1497551154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 N 27TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984075813",
"telephone_number": "253-283-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064014",
"telephone_number": "253-314-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "MICHELLE",
"middle_name": "CARMELLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "VA61645257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.