Active NPI
Joshua L Wangadi, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Everett, WA
National Provider Identifier
1710611777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- IR60879266
- Practice address
- 11216 4TH Ave W
Everett, WA 98204-4979 - Phone
- (425) 355-9940
- NPI assigned
- Jul 14, 2022
- Last updated
- Jul 14, 2024
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | IR60879266 | WA | Primary |
Addresses
Primary practice location
11216 4TH Ave W
Everett, WA 98204-4979
Mailing address
8643 35TH PL NE
Marysville, WA 98270-7242
Other practice location 1
6807 Evergreen Way
Everett, WA 98203-5145
Phone (425) 438-9380
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
| License | State | Type | Specialty |
|---|---|---|---|
| IR60879266 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720915200000",
"number": "1710611777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8643 35TH PL NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11216 4TH AVE W",
"city": "EVERETT",
"state": "WA",
"postal_code": "982044979",
"telephone_number": "425-355-9940"
}
],
"practiceLocations": [
{
"address_1": "6807 Evergreen Way",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982035145",
"country_code": "US",
"telephone_number": "425-438-9380",
"fax_number": "425-438-2559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANGADI",
"first_name": "JOSHUA",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2024-07-14",
"certification_date": "2024-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "IR60879266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.