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Fairuz Hussein

Physician β€’ Puyallup, WA

Deactivated NPI 1043878333 Deactivated in NPPES Male Practitioner
Practice location in NPPES

11910 Meridian E Ste A
Puyallup, WA 983733433

Phone: 2532680941

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of August 20, 2019; the reason is not published. The records below are historical. They do not show whether Fairuz Hussein currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date May 31, 2019
NPI Deactivation Date August 20, 2019
NPI Active Period 2019 – 2019

Practice Location & Contact Primary Location

Practice Address

11910 Meridian E Ste A

Puyallup, WA 983733433

Telephone 2532680941
Organization at the Same NPPES Address or Phone
Millenium Pharmacy Facility NPI 1366097727

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Puyallup and Washington

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacy - Long Term Care Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336L0003X

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated August 20, 2019

NPPES lists this NPI as deactivated as of August 20, 2019; the reason is not published.

βœ…
NPI Profile Active May 31, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 31, 2019

Registered at 11910 MERIDIAN E STE A, PUYALLUP, WA 983733433 (Tel: 2532680941)

πŸ“
Business Mailing Address (Initial Record) May 31, 2019

Registered at 11910 MERIDIAN E STE A, PUYALLUP, WA 983733433 (Tel: 2532680941)

πŸ‘€
Provider Name / Credentials (Initial Record) May 31, 2019

Recorded as FAIRUZ HUSSEIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2019

Pharmacy

🟒
Initial NPI Registration & Enumeration May 31, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043878333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2019
Last Update: May 31, 2019
Deactivation Date: August 20, 2019

Mailing Address

11910 Meridian E Ste A

Puyallup, WA 983733433

Phone: 2532680941

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.