Individual provider Active NPI

Ashley Pedde

  • Pharmacist
  • Tacoma, WA
National Provider Identifier
1649638412
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61291753 Issued in WA
Practice address
1624 72ND St E
Tacoma, WA 98404-5401
Phone
(253) 537-2124
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23512 MD
Pharmacist 183500000X PH61291753 WA Primary

Addresses

Primary practice location

1624 72ND St E
Tacoma, WA 98404-5401

Mailing address

1624 72ND St E
Tacoma, WA 98404-5401
Phone (253) 537-2124

Other practice location 1

7939 New Hampshire Ave
Hyattsville, MD 20783-4609
Phone (301) 434-3121

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pharmacist

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

LicenseStateTypeSpecialty
23512MDMDPharmacist
PH61291753WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1649638412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 72ND ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045401",
            "telephone_number": "253-537-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 72ND ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045401",
            "telephone_number": "253-537-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7939 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207834609",
            "country_code": "US",
            "telephone_number": "301-434-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDDE",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23512",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61291753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pharmacist",
            "affiliation": "N",
            "address_1": "1624 72nd St E",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984045401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 22, 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.