Healthcare Provider Details

I. General information

NPI: 1952103590
Provider Name (Legal Business Name): ARYANA VADIPOUR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARY VADIPOUR PHARMD

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

1805 QUARRY RIDGE PL NW APT 255
ROCHESTER MN
55901-0866
US

V. Phone/Fax

Practice location:
  • Phone: 206-001-7231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0135780
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number12277586-1702
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: