Individual provider Active NPI

Douglas Craig Pratt, PHARMD

  • Geriatric Pharmacist
  • Gig Harbor, WA
National Provider Identifier
1649544149
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
PH00021803 Issued in WA
Practice address
9 33Rd Avenue CT NW
Gig Harbor, WA 98335-7849
Phone
(253) 851-6565
NPI assigned
Feb 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X PH00021803 WA Primary
Geriatric Pharmacist 1835G0303X RPH37696 CA
Geriatric Pharmacist 1835G0303X RPH0011603 OR

Addresses

Primary practice location

9 33Rd Avenue CT NW
Gig Harbor, WA 98335-7849

Mailing address

9 33Rd Avenue CT NW
Gig Harbor, WA 98335-7849
Phone (253) 851-6565

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

LicenseStateTypeSpecialty
RPH37696CAMDGeriatric Pharmacist
RPH0011603ORMDGeriatric Pharmacist
PH00021803WAMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1649544149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 33RD AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357849",
            "telephone_number": "253-851-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 33RD AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357849",
            "telephone_number": "253-851-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "DOUGLAS",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "WA",
            "license": "PH00021803",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "RPH37696",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "OR",
            "license": "RPH0011603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.