Active NPI
Lean Ariane Puno Sta Maria, PHARMACIST
- Pharmacist
- Spanaway, WA
National Provider Identifier
1689175812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60718480
- Practice address
- 2009 201St St E
Spanaway, WA 98387-4110 - Phone
- (504) 491-9134
- NPI assigned
- Feb 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60718480 | WA | Primary |
Addresses
Primary practice location
2009 201St St E
Spanaway, WA 98387-4110
Mailing address
2009 201St St E
Spanaway, WA 98387-4110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60718480 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| PH60718480 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1689175812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 201ST ST E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983874110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 201ST ST E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983874110",
"telephone_number": "504-491-9134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STA MARIA",
"first_name": "LEAN ARIANE",
"middle_name": "PUNO",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60718480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "PH60718480",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.