Active NPI
Tara A Parks, PHARM.D.
- Pharmacist
- Colville, WA
National Provider Identifier
1922206242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58965
- Practice address
- 391 N Main St
Colville, WA 99114-2309 - Phone
- (509) 684-8481
- Fax
- (509) 684-3275
- NPI assigned
- Jul 8, 2007
- Last updated
- Apr 20, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 58965 | CA | Primary |
Addresses
Primary practice location
391 N Main St
Colville, WA 99114-2309
Mailing address
391 N Main St
Colville, WA 99114-2309
Phone (509) 684-8481
Other practice location 1
600 N Cecil Rd
Post Falls, ID 83854-6200
Phone (208) 262-2817
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58965 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1922206242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 N MAIN ST",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991142309",
"telephone_number": "509-684-8481",
"fax_number": "509-684-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 N MAIN ST",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991142309",
"telephone_number": "509-684-8481",
"fax_number": "509-684-3275"
}
],
"practiceLocations": [
{
"address_1": "600 N Cecil Rd",
"address_purpose": "LOCATION",
"city": "Post Falls",
"state": "ID",
"postal_code": "838546200",
"country_code": "US",
"telephone_number": "208-262-2817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "TARA",
"middle_name": "A",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-08",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58965",
"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 Apr 20, 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.