MS. TONI RAE CONRAD , NPI 1306829072 — TACOMA (WA)

NPI 1306829072

14+ Years Experience Individual

MS. TONI RAE CONRAD

11/26/2005
PROVIDER ENUMERATION DATE
04/29/2013
LAST UPDATE DATE
1306829072
NPI NUMBER

About MS. TONI RAE CONRAD

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

MS. TONI RAE CONRAD is a provider established in TACOMA, WA. The NPI number of MS. TONI RAE CONRAD is 1306829072 and was assigned on 11/26/2005. The practitioners primary taxonomy code is: 183700000X with license number: VA00045025 WA .

Mailing address

  • City: TACOMA
  • State: WA
  • Postal code: 984084610
  • Phone: 2534959766
  • Address: 6325 S PARK AVE

Primary Practice Address

  • Region : TACOMA, WA
  • NPI : 1306829072
  • Phone : 2534959766
  • Postalcode : 984084610
  • Address : 6325 S PARK AVE

Provider taxonomy - Pharmacy Technician

  • Taxonomy code: 183700000X
  • License number: VA00045025
  • License state: WA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Contacts:

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  • MS. TONI RAE CONRAD
  • Address : 6325 S PARK AVE
  • Region : TACOMA, WA
  • NPI : 1306829072
  • Phone : 2534959766
  • Postalcode : 984084610

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address6325 S PARK AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameTACOMA
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameWA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code984084610
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2534959766
The telephone number associated with the location address of the provider being identified.
NPI1306829072
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1183700000X
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
Provider Enumeration Date11/26/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated04/29/2013
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MS. TONI RAE CONRAD
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address6325 S PARK AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameTACOMA
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameWA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code984084610
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2534959766
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1183700000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Pharmacy Technician
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
Provider License Number 1VA00045025
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1WA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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