Joseph Robert Canto Jr., RPH
Individual provider Active NPI Pharmacist · Spanaway, WA
NPI 1861617656 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861617656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH00044241 (WA)
- Practice address
- 22303 Mountain Hwy E
Spanaway, WA 98387-7529 - Phone
- (253) 875-4033
- Fax
- (253) 875-4042
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00044241 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00044241 | WA | Yes |
Addresses
Primary practice location
22303 Mountain Hwy E
Spanaway, WA 98387-7529
Mailing address
13313 174TH St E
Puyallup, WA 98374-9285
Phone (360) 893-6003
NPI Registry JSON
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861617656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13313 174TH ST E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983749285",
"telephone_number": "360-893-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22303 MOUNTAIN HWY E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983877529",
"telephone_number": "253-875-4033",
"fax_number": "253-875-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTO",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00044241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.