Individual provider Active NPI

Kristine Rose Ignacio Cardenas, RPH

  • Pharmacist
  • Port Orchard, WA
National Provider Identifier
1649533902
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60036838 Issued in WA
Practice address
370 SW Sedgwick Rd
Port Orchard, WA 98367-6432
Phone
(360) 876-2698
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60036838 WA Primary

Addresses

Primary practice location

370 SW Sedgwick Rd
Port Orchard, WA 98367-6432

Mailing address

370 SW Sedgwick Rd
Port Orchard, WA 98367-6432
Phone (360) 876-2698

Other names 1

  • Ms. Kristine Rose Ignacio-Cardenas Professional name

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
PH60036838WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1649533902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SW SEDGWICK RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676432",
            "telephone_number": "360-876-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SW SEDGWICK RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676432",
            "telephone_number": "360-876-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "KRISTINE ROSE",
        "middle_name": "IGNACIO",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60036838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "IGNACIO-CARDENAS",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

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

Verify at the official NPI Registry.