Active NPI
Nancy Anne Poffenberger, PA-C; RPH
- Pharmacist
- Tacoma, WA
National Provider Identifier
1932133113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009777
- Practice address
- 9040 Fitzsimmons Dr
Tacoma, WA 98431-1100 - Phone
- (253) 968-0770
- Fax
- (253) 968-2608
- NPI assigned
- Jul 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00009777 | WA | Primary |
| Medical Physician Assistant | 363AM0700X | PA10004270 | WA |
Addresses
Primary practice location
9040 Fitzsimmons Dr
Tacoma, WA 98431-1100
Mailing address
3029 90TH Ave E
Edgewood, WA 98371-2068
Phone (253) 922-0563
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009777 | WA | MD | Pharmacist |
| PA10004270 | WA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1932133113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 90TH AVE E",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "983712068",
"telephone_number": "253-922-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 FITZSIMMONS DR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-0770",
"fax_number": "253-968-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POFFENBERGER",
"first_name": "NANCY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "PA-C; RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009777",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10004270",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.