Individual provider Active NPI

Daniel Austin Duclos, PHARMD

  • Pharmacist
  • Gig Harbor, WA
National Provider Identifier
1992220750
Registry record updated Aug 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60768130 Issued in WA
Practice address
4818 Point Fosdick Dr NW
Gig Harbor, WA 98335-1711
Phone
(253) 851-3175
NPI assigned
Aug 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60768130 WA Primary

Addresses

Primary practice location

4818 Point Fosdick Dr NW
Gig Harbor, WA 98335-1711

Mailing address

1705 Dock St Unit 313
Tacoma, WA 98402-3220
Phone (785) 565-1277

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
PH60768130WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502582400000",
    "number": "1992220750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DOCK ST UNIT 313",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023220",
            "telephone_number": "785-565-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 POINT FOSDICK DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351711",
            "telephone_number": "253-851-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLOS",
        "first_name": "DANIEL",
        "middle_name": "AUSTIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-13",
        "last_updated": "2017-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60768130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2017; 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.