Avionne Makayla Pridgen, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

VA61315926 Issued in WA

Practice address

551 S Market Blvd
Chehalis, WA 98532-3045

Phone

(360) 748-8801

Fax

(360) 748-1605

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1639888340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323045",
            "telephone_number": "360-748-8801",
            "fax_number": "360-748-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323045",
            "telephone_number": "360-748-8801",
            "fax_number": "360-748-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "AVIONNE",
        "middle_name": "MAKAYLA",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA61315926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avionne.m.pridgen@riteaid.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "551 S Market Blvd",
            "city": "Chehalis",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985323045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Kyle Pratt, CDPT
• Traci Lynn Prayner, CRNA
• Stacie Anne Prestegord, LMP
• Coreenia Lee Preston, CNA
• Veronica I Preston, RN
• Krystal Rene Priest
• Hailey Prince
• Private Network Consulting
• Hope Ann Proctor, LICSW-A
• Surya Punjabi, DMD

• Pharmacy Technician in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Pharmacy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.