Individual provider Active NPI

Philippe De Montaudouin, PHARMD

  • Pharmacist
  • Ocean Park, WA
National Provider Identifier
1952205791
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRM.PH.70185295 Issued in WA
Practice address
1501 Bay Ave Ste 201
Ocean Park, WA 98640-4203
Phone
(360) 665-5181
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHRM.PH.70185295 WA Primary

Addresses

Primary practice location

1501 Bay Ave Ste 201
Ocean Park, WA 98640-4203

Mailing address

1501 Bay Ave Ste 201
Ocean Park, WA 98640-4203
Phone (360) 665-5181

Other practice location 1

101 1st Ave S
Ilwaco, WA 98624-9100
Phone (360) 642-3133

Other practice location 2

101 Bolstad Ave E
Long Beach, WA 98631-9201
Phone (360) 642-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1952205791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BAY AVE STE 201",
            "city": "OCEAN PARK",
            "state": "WA",
            "postal_code": "986404203",
            "telephone_number": "360-665-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BAY AVE STE 201",
            "city": "OCEAN PARK",
            "state": "WA",
            "postal_code": "986404203",
            "telephone_number": "360-665-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Ilwaco",
            "state": "WA",
            "postal_code": "986249100",
            "country_code": "US",
            "telephone_number": "360-642-3133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Bolstad Ave E",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "WA",
            "postal_code": "986319201",
            "country_code": "US",
            "telephone_number": "360-642-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE MONTAUDOUIN",
        "first_name": "PHILIPPE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PHRM.PH.70185295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.