Active NPI
Alyssa Marie Del Palacio, PHARMD
- Pharmacist
- Maple Valley, WA
National Provider Identifier
1932463593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60556934
- Practice address
- 22117 SE 237TH St
Maple Valley, WA 98038-8533 - Phone
- (425) 432-1234
- NPI assigned
- Jun 28, 2012
- Last updated
- Aug 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IR60229533 | WA | |
| Pharmacist | 183500000X | PH60556934 | WA | Primary |
Addresses
Primary practice location
22117 SE 237TH St
Maple Valley, WA 98038-8533
Mailing address
26520 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8394
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 |
|---|---|---|---|
| PH60556934 | WA | MD | Pharmacist |
| IR60229533 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bartell Drug Co | Past | Accepting new patients | |
| The Bartell Drug Co | 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": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1932463593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26520 MAPLE VALLEY BLACK DIAMOND RD SE",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22117 SE 237TH ST",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388533",
"telephone_number": "425-432-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL PALACIO",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "IR60229533",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60556934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.