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

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.

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

LicenseStateTypeSpecialty
PH00044241WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Meyer Stores Inc. Past Accepting new patients
Fred Meyer Stores Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Spanaway, WA · Pharmacist in Washington

Sources for this page

Verify at the official NPI Registry.