Individual provider Active NPI

Priscilla Grace Navaja, PHARMD

  • Pharmacist
  • Monroe, WA
National Provider Identifier
1902139959
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60101237 Issued in WA
Practice address
14692 179TH Ave SE
Suite 200
Monroe, WA 98272-1198
Phone
(360) 794-5555
Fax
(360) 794-0749
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60101237 WA Primary

Addresses

Primary practice location

14692 179TH Ave SE
Suite 200
Monroe, WA 98272-1198

Mailing address

3025 162ND PL SE
Mill Creek, WA 98012-7849

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
PH60101237WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1902139959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 162ND PL SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14692 179TH AVE SE",
            "address_2": "SUITE 200",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721198",
            "telephone_number": "360-794-5555",
            "fax_number": "360-794-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVAJA",
        "first_name": "PRISCILLA",
        "middle_name": "GRACE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60101237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.