Department of Social

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DEPARTMENT OF SOCIAL

Doing business as

Western State Hospital Pharmacy

Practice address

9601 Stellacoom Blvd SW
Tacoma, WA 98498

Phone

(253) 756-2521

Fax

(253) 756-2707

NPI assigned

Jan 18, 2011

Organization subpart

Yes

Parent organization

WESTERN STATE HOSPITALAs reported in NPPES

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

Authorized official

Name

Stephanie Skinner

Title

Physician Credential Manager

Phone

(253) 756-3966

Specialties & licenses 2

Addresses

Other names 1

• Western State Hospital Pharmacy Doing business as

Part of

Department of Social and Health Services

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Western State Hospital

  • Psychiatric Hospital
  • Tacoma, WA
  • NPI 1710287479
  NPPES parent name

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1760787097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 STEILACOOM BLVD SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98498",
            "telephone_number": "253-756-2521",
            "fax_number": "253-756-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 STELLACOOM BLVD SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98498",
            "telephone_number": "253-756-2521",
            "fax_number": "253-756-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF SOCIAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN STATE HOSPITAL",
        "enumeration_date": "2011-01-18",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHYSICIAN CREDENTIAL MANAGER",
        "authorized_official_telephone_number": "253-756-3966"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western State Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dhananjay Vinay Deo, MD
• Anil Deol
• Renuka Deonarinesingh, PA
• Caitlin Faith Deonier
• Department of Social
• Department of Veterans Affairs
• Dept of Veteran Affairs
• Cherise Eileen Derheim, LMP
• Alina Derlyuk, LMP
• Chastity F Deroo, PA-C

• Pharmacy in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.