Beatrice F Eisenberg, RPH, PHARMD
Individual provider Active NPI Pharmacist · Fife, WA
NPI 1720153554 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720153554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH00014568 (WA)
- Practice address
- 5303 Pacific Hwy E
Fife, WA 98424-2601 - Phone
- (253) 922-0222
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00014568 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fife Drug Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00014568 | WA | Yes |
Addresses
Primary practice location
5303 Pacific Hwy E
Fife, WA 98424-2601
Mailing address
33803 32ND CT SW
Federal Way, WA 98023-7743
Phone (253) 874-2983
Other providers in Fife, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.