Individual provider Active NPI

Dominique De la Pena

  • Pharmacy Technician
  • Redmond, WA
National Provider Identifier
1508578741
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
Practice address
8862 161St Ave NE
Redmond, WA 98052-7553
Phone
(425) 883-9532
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X Primary

Addresses

Primary practice location

8862 161St Ave NE
Redmond, WA 98052-7553

Mailing address

1923 S Orcas St
Seattle, WA 98108-2928

Other identifiers 1

IdentifierTypeStateIssuer
61296477OtherPHARMACY TECH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dominique.E.DeLaPena@bartelldrugs.com Washington CVS Pharmacy LLC

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Bartell Drug Co PastSince Dec 28, 2022 Accepting new patients
Washington CVS Pharmacy LLC PastSince Dec 28, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dominique.e.delapena@bartelldrugs.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1508578741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S ORCAS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8862 161ST AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527553",
            "telephone_number": "425-883-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECH",
            "identifier": "61296477",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dominique.E.DeLaPena@bartelldrugs.com",
            "affiliation": "Y",
            "affiliationName": "Washington CVS Pharmacy LLC",
            "address_1": "8862 161st Ave NE",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980527553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.