Individual provider Active NPI

Troy Nathan Tolman, PHARMD

  • Pharmacist
  • Colville, WA
National Provider Identifier
1902189095
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60170840 Issued in WA
Practice address
358 N Main St
Colville, WA 99114-2310
Phone
(509) 684-1440
Fax
(509) 684-2831
NPI assigned
Sep 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60507700 WA
Pharmacist 183500000X PH60170840 WA Primary

Addresses

Primary practice location

358 N Main St
Colville, WA 99114-2310

Mailing address

358 N Main St
Colville, WA 99114-2310
Phone (509) 684-1440

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
PH60170840WAMDPharmacist
PH60507700WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1902189095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142310",
            "telephone_number": "509-684-1440",
            "fax_number": "509-684-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142310",
            "telephone_number": "509-684-1440",
            "fax_number": "509-684-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLMAN",
        "first_name": "TROY",
        "middle_name": "NATHAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-24",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60507700",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60170840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.