Individual provider Active NPI

Katia Tung, RPH

  • Pharmacist
  • Vancouver, WA
National Provider Identifier
1578863072
Registry record updated Oct 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00020200 Issued in WA
Practice address
6701 E Mill Plain Blvd
No Suite
Vancouver, WA 98661-7459
Phone
(360) 992-5726
Fax
(360) 992-5728
NPI assigned
Oct 30, 2010
Last updated
Oct 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00020200 WA Primary

Addresses

Primary practice location

6701 E Mill Plain Blvd
No Suite
Vancouver, WA 98661-7459

Mailing address

6701 E Mill Plain Blvd
No Suite
Vancouver, WA 98661-7459
Phone (360) 992-5726

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
PH00020200WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288396800000",
    "number": "1578863072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 E MILL PLAIN BLVD",
            "address_2": "NO SUITE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617459",
            "telephone_number": "360-992-5726",
            "fax_number": "360-992-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 E MILL PLAIN BLVD",
            "address_2": "NO SUITE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617459",
            "telephone_number": "360-992-5726",
            "fax_number": "360-992-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "KATIA",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-30",
        "last_updated": "2010-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00020200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; 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.