Individual provider Active NPI

Ma Priscilla Arce Tayag

  • Pharmacist
  • Tacoma, WA
National Provider Identifier
1780800458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH66396 Issued in WA
Practice address
1850 S Mildred St
Tacoma, WA 98465-1608
Phone
(253) 460-9599
Fax
(253) 460-5998
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH66396 WA Primary

Addresses

Primary practice location

1850 S Mildred St
Tacoma, WA 98465-1608

Mailing address

6908 S 12TH St Apt 1908
Tacoma, WA 98465-1710
Phone (253) 507-5156

Other names 1

  • Ma Priscilla Castaneda Arce Former name

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
PH66396WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780800458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 S 12TH ST APT 1908",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651710",
            "telephone_number": "253-507-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S MILDRED ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651608",
            "telephone_number": "253-460-9599",
            "fax_number": "253-460-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYAG",
        "first_name": "MA PRISCILLA",
        "middle_name": "ARCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH66396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA PRISCILLA",
            "last_name": "ARCE",
            "middle_name": "CASTANEDA",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.