Tri-Area RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHARCF60524963 Issued in WA

Legal business name

TRI-AREA RX LLC

Practice address

93 Oak Bay Rd
Port Hadlock, WA 98339-9783

Phone

(360) 379-9800

Fax

(360) 379-8200

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Cielo Tan

Title

Owner

Phone

(360) 990-8283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri-Area Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cielo Kathryn Tan

  • Pharmacist
  • Port Hadlock, WA
  • NPI 1508186057
  NPD

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1689956567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700277",
            "telephone_number": "360-379-9800",
            "fax_number": "360-379-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 OAK BAY RD",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983399783",
            "telephone_number": "360-379-9800",
            "fax_number": "360-379-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-AREA RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "CIELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-990-8283"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF60524963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150406",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Area Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Smart, PHARMD
• Cielo Kathryn Tan
• Blake Thedinga, DPT
• Alice Marie Tibbals, LMHC
• Deborah Trent, PHARM.D.
• Cristie Anne Vancamp, LMP
• Vital Elements Natural Medicine LLC
• Donald R Young, DDS

• All providers in Port Hadlock, WA
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.