Mina Michel Ishak Tadros, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60805847 Issued in WA

Practice address

27000 Miller Bay Rd NE
Kingston, WA 98346-9371

Phone

(360) 297-5200

NPI assigned

Apr 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562371200000",
    "number": "1811494255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 NW AMBERCREST WAY APT 206",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837788",
            "telephone_number": "407-777-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27000 MILLER BAY RD NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469371",
            "telephone_number": "360-297-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23940 NE State Route 3",
            "address_purpose": "LOCATION",
            "city": "Belfair",
            "state": "WA",
            "postal_code": "98528",
            "country_code": "US",
            "telephone_number": "360-275-8964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADROS",
        "first_name": "MINA",
        "middle_name": "MICHEL ISHAK",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2019-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60805847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Annie Strandberg, MA61137883
• Emily Ann Stuart, LMP
• Mari Catherine Sullivan, DNP, MSN, ARNP-C
• Tammy L Sullivan, CHR
• Chester Andrew Swanson, D.C.
• Daniel J Thacker, D.D.S,P.S.
• Marquita R Thompson, RC
• Thrifty Payless Inc
• Colleen Marie Toepfer, LMP
• Nicole Beverly Turner, RN

• Pharmacist in Kingston, WA
• Providers in Kingston, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.