Individual provider Active NPI

Bernadine Santi, RPH

  • Pharmacist
  • Olympia, WA
National Provider Identifier
1548523079
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00072687 Issued in WA
Practice address
3520 Pacific Ave SE
Olympia, WA 98501-2121
Phone
(360) 491-0330
Fax
(360) 456-2310
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00072687 WA Primary

Addresses

Primary practice location

3520 Pacific Ave SE
Olympia, WA 98501-2121

Mailing address

3520 Pacific Ave SE
Olympia, WA 98501-2121
Phone (360) 491-0330

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

LicenseStateTypeSpecialty
PH00072687WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1548523079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 PACIFIC AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012121",
            "telephone_number": "360-491-0330",
            "fax_number": "360-456-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 PACIFIC AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012121",
            "telephone_number": "360-491-0330",
            "fax_number": "360-456-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTI",
        "first_name": "BERNADINE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00072687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.