Active NPI
Ramdas Vaidyanathan, DPH
- Pharmacist
- Seattle, WA
National Provider Identifier
1578834115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00048652
- Practice address
- 5409 15TH Ave NW
Seattle, WA 98107-3810 - Phone
- (206) 781-0056
- NPI assigned
- Jan 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00048652 | WA | Primary |
| Pharmacist | 183500000X | RPH-0010168 | OR | |
| Pharmacist | 183500000X | R-12532 | OK |
Addresses
Primary practice location
5409 15TH Ave NW
Seattle, WA 98107-3810
Mailing address
2117 28TH St SE
Puyallup, WA 98372-5155
Phone (425) 283-3229
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 |
|---|---|---|---|
| R-12532 | OK | MD | Pharmacist |
| RPH-0010168 | OR | MD | Pharmacist |
| PH00048652 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Seattle, WA
- NPI 1639184690
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1578834115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 28TH ST SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983725155",
"telephone_number": "425-283-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 15TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073810",
"telephone_number": "206-781-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIDYANATHAN",
"first_name": "RAMDAS",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00048652",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010168",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "R-12532",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.