Individual provider Active NPI

Bridgette Willing

  • Pharmacist
  • Centralia, WA
National Provider Identifier
1780130153
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60584318 Issued in WA
Practice address
20311 Old Highway 9 SW
Centralia, WA 98531-9620
Phone
(360) 664-3400
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60584318 WA Primary

Addresses

Primary practice location

20311 Old Highway 9 SW
Centralia, WA 98531-9620

Mailing address

4457 Cashmere Dr NE
Lacey, WA 98516-1342
Phone (206) 941-5556

Other practice location 1

1601 NW Louisiana Ave
Chehalis, WA 98532-1700
Phone (360) 748-0858

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

State licenses

LicenseStateTypeSpecialty
PH60584318WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1780130153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 CASHMERE DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161342",
            "telephone_number": "206-941-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 OLD HIGHWAY 9 SW",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319620",
            "telephone_number": "360-664-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 NW Louisiana Ave",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985321700",
            "country_code": "US",
            "telephone_number": "360-748-0858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLING",
        "first_name": "BRIDGETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60584318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.