Individual provider Active NPI

Cristina Cardona, PHARMD

  • Pharmacist
  • Des Moines, WA
National Provider Identifier
1568973600
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60772379 Issued in WA
Practice address
2781 S 242ND St
Des Moines, WA 98198-5166
Phone
(206) 212-4530
NPI assigned
Oct 16, 2017
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PH60772379WAMDPharmacist

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.

Verify at the official NPI Registry.