Individual provider Active NPI

Cody Angela Traweek, PHARMD, MHA

  • Ambulatory Care Pharmacist
  • Olympia, WA
National Provider Identifier
1699299800
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
PH60875230 Issued in WA
Practice address
413 Lilly Rd NE
Olympia, WA 98506
Phone
(360) 493-5369
NPI assigned
Jul 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PI-0011859 OR
Ambulatory Care Pharmacist 1835P2201X PH60875230 WA Primary

Addresses

Primary practice location

413 Lilly Rd NE
Olympia, WA 98506

Mailing address

4240 Lemon Rd NE
Olympia, WA 98506-9666

Other practice location 1

108 SW Memorial Pl Ste 108
Corvallis, OR 97331-8667
Phone (541) 737-7617

Other practice location 2

530 NW 27th St
Corvallis, OR 97330-5223
Phone (541) 766-0174

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PI-0011859ORMDPharmacist
PH60875230WAMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1699299800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 LEMON RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985069666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-493-5369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 SW Memorial Pl Ste 108",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973318667",
            "country_code": "US",
            "telephone_number": "541-737-7617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 NW 27th St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973305223",
            "country_code": "US",
            "telephone_number": "541-766-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAWEEK",
        "first_name": "CODY",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-29",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "PI-0011859",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WA",
            "license": "PH60875230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.