Active NPI
Brittany T Dodge, PHARMD
- Pharmacist
- Lacey, WA
National Provider Identifier
1801205398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60477539
- Practice address
- 700 Sleater Kinney Rd SE
Lacey, WA 98503-1150 - Phone
- (360) 438-6483
- NPI assigned
- Aug 8, 2014
- Sex
- Female
- 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 | 183500000X | PH60477539 | WA | Primary |
Addresses
Primary practice location
700 Sleater Kinney Rd SE
Lacey, WA 98503-1150
Mailing address
700 Sleater Kinney Rd SE
Lacey, WA 98503-1150
Phone (360) 438-6483
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 |
|---|---|---|---|
| PH60477539 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1801205398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SLEATER KINNEY RD SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031150",
"telephone_number": "360-438-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SLEATER KINNEY RD SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031150",
"telephone_number": "360-438-6483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "BRITTANY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60477539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.