Active NPI
Daryl Steven Dudiak
- Pharmacist
- Bellingham, WA
National Provider Identifier
1598931107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39186
- Practice address
- 220 36TH St
Bellingham, WA 98225-6540 - Phone
- (360) 734-8254
- NPI assigned
- May 3, 2008
- Last updated
- May 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39186 | WA | Primary |
Addresses
Primary practice location
220 36TH St
Bellingham, WA 98225-6540
Mailing address
1280 Sudden Vly
Bellingham, WA 98229-4834
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 |
|---|---|---|---|
| 39186 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209772800000",
"number": "1598931107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 SUDDEN VLY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982294834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 36TH ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982256540",
"telephone_number": "360-734-8254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDIAK",
"first_name": "DARYL",
"middle_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-03",
"last_updated": "2008-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "39186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.