Active NPI
Victoria L.P. Elijah, PHARM.D.
- Pharmacist
- Tacoma, WA
National Provider Identifier
1588729537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00041498
- Practice address
- 1102 S I St
Tacoma, WA 98405-4559 - Phone
- (253) 284-2324
- Fax
- (253) 284-4131
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 8, 2007
- 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 | PH00041498 | WA | Primary |
Addresses
Primary practice location
1102 S I St
Tacoma, WA 98405-4559
Mailing address
PO Box 23672
2640 SW 347TH St.
Federal Way, WA 98093-0672
Phone (253) 952-8108
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 |
|---|---|---|---|
| PH00041498 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588729537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23672",
"address_2": "2640 SW 347TH ST.",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980930672",
"telephone_number": "253-952-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 S I ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054559",
"telephone_number": "253-284-2324",
"fax_number": "253-284-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIJAH",
"first_name": "VICTORIA",
"middle_name": "L.P.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00041498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.