Maria Wamansjah, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS00021696 Issued in WA

Practice address

3716 S 144TH St
Tukwila, WA 98168-4045

Phone

(206) 204-1284

NPI assigned

Dec 22, 2009

Sex

Female

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

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.

• Walgreen Co

  • Pharmacy
  • Tukwila, WA
  • NPI 1780840033
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1891024832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 S 144TH ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684045",
            "telephone_number": "206-204-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 S 144TH ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684045",
            "telephone_number": "206-204-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMANSJAH",
        "first_name": "MARIA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PS00021696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan F Walker
• Walnut Vision Care Wa
• Elizabeth Anne Walters, MSW
• Jerome Walters Sr., CDP
• Harrison Wamai, DDS
• Jonathan Alan Wan, D.C
• Victoria M Wan, DDS
• Shirley S. Wang, O.D.
• Stacey Wang
• Xiaojue Wang, PHARM D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.