Anatoliy Amosovich Datskiy, PHARMD
Individual provider Active NPI Pharmacist · Ferndale, WA
NPI 1649869983 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1649869983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH61067390 (WA)
- Practice address
- 5655 3Rd Ave
Ferndale, WA 98248-8394 - Phone
- (360) 384-1551
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61067390 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimalrx Solutions, LLC | Pharmacist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61067390 | WA | Yes |
Addresses
Primary practice location
5655 3Rd Ave
Ferndale, WA 98248-8394
Mailing address
5617 Poplar PL
Ferndale, WA 98248-9178
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.