Active NPI
Mia Elizabeth Carroll, RPH
- Pharmacist
- Tacoma, WA
National Provider Identifier
1831468123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00049658
- Practice address
- 1708 Yakima Ave
Tacoma, WA 98405-5307 - Phone
- (253) 426-6920
- NPI assigned
- Dec 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PH00049658 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave
Tacoma, WA 98405-5307
Mailing address
2711 22ND Avenue CT NW
Gig Harbor, WA 98335-7973
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00049658 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1831468123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 22ND AVENUE CT NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983357973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-426-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "MIA",
"middle_name": "ELIZABETH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00049658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.