Active NPI
Jaime-Rose Cayme Tangonan, RPH
- Pharmacist
- Hermiston, OR
National Provider Identifier
1891213922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0016171
- Practice address
- 1350 N 1St St
Hermiston, OR 97838 - Phone
- (541) 567-5323
- NPI assigned
- Sep 8, 2017
- Last updated
- May 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH-60752150 | WA | |
| Pharmacist | 183500000X | PH-4311 | HI | |
| Pharmacist | 183500000X | RPH-0016171 | OR | Primary |
Addresses
Primary practice location
1350 N 1St St
Hermiston, OR 97838
Mailing address
72 NE Hadley Way Unit 2
College Place, WA 99324-2173
Phone (808) 494-8711
Other practice location 1
1350 N 1st St
Hermiston, OR 97838
Phone (541) 567-5323
Other practice location 2
1350 N 1st St
Hermiston, OR 97838
Phone (541) 567-5323
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 |
|---|---|---|---|
| PH-4311 | HI | MD | Pharmacist |
| RPH-0016171 | OR | MD | Pharmacist |
| PH-60752150 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1891213922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 NE HADLEY WAY UNIT 2",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993242173",
"telephone_number": "808-494-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 N 1ST ST",
"city": "HERMISTON",
"state": "OR",
"postal_code": "97838",
"telephone_number": "541-567-5323"
}
],
"practiceLocations": [
{
"address_1": "1350 N 1st St",
"address_purpose": "LOCATION",
"city": "Hermiston",
"state": "OR",
"postal_code": "97838",
"country_code": "US",
"telephone_number": "541-567-5323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 N 1st St",
"address_purpose": "LOCATION",
"city": "Hermiston",
"state": "OR",
"postal_code": "97838",
"country_code": "US",
"telephone_number": "541-567-5323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANGONAN",
"first_name": "JAIME-ROSE",
"middle_name": "CAYME",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH-60752150",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH-4311",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.