Individual provider Active NPI

Galina Avdeyenko, PHARMD

  • Pharmacist
  • Spokane, WA
National Provider Identifier
1881473585
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60769285 Issued in WA
Practice address
105 W 8TH Ave Ste 1000
Spokane, WA 99204-2327
Phone
(509) 474-4500
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Solid Organ Transplant Pharmacist 1835S0206X PH60769285 WA
Pharmacist 183500000X PH60769285 WA Primary

Addresses

Primary practice location

105 W 8TH Ave Ste 1000
Spokane, WA 99204-2327

Mailing address

105 W 8TH Ave Ste 1000
Spokane, WA 99204-2327

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

LicenseStateTypeSpecialty
PH60769285WAMDMedical license number

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1881473585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 1000",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 1000",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042327",
            "telephone_number": "509-474-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVDEYENKO",
        "first_name": "GALINA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835S0206X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Solid Organ Transplant",
            "state": "WA",
            "license": "PH60769285",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60769285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.