Active NPI
Ashley Pedde
- Pharmacist
- Tacoma, WA
National Provider Identifier
1649638412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61291753
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23512 | MD | MD | Pharmacist |
| PH61291753 | WA | MD | Pharmacist |
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.