Active NPI
Cristina Cardona, PHARMD
- Pharmacist
- Des Moines, WA
National Provider Identifier
1568973600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60772379
- Practice address
- 2781 S 242ND St
Des Moines, WA 98198-5166 - Phone
- (206) 212-4530
- NPI assigned
- Oct 16, 2017
- Last updated
- Mar 23, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60772379 | WA | Primary |
Addresses
Primary practice location
2781 S 242ND St
Des Moines, WA 98198-5166
Mailing address
24809 NE 25TH St
Sammamish, WA 98074-3321
Phone (425) 221-9853
Other practice location 1
4025 Delridge Way SW Ste 400
Seattle, WA 98106-1273
Phone (877) 227-8355
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60772379 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1568973600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24809 NE 25TH ST",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980743321",
"telephone_number": "425-221-9853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2781 S 242ND ST",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981985166",
"telephone_number": "206-212-4530"
}
],
"practiceLocations": [
{
"address_1": "4025 Delridge Way SW Ste 400",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981061273",
"country_code": "US",
"telephone_number": "877-227-8355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDONA",
"first_name": "CRISTINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-16",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60772379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.