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Deactivated NPI 1922608439 Deactivated / Inactive NPI Male Practitioner

Dr. Blaine Pervinich , PharmD

Pharmacist • Yakima, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Blaine Pervinich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2020
NPI Deactivation Date September 11, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Blaine Pervinich, PharmD was a registered Pharmacist practicing in Yakima, WA. Throughout an active medical career spanning 5 years, Dr. Pervinich provided care at the practice location at 1610 W LINCOLN AVE until profile deactivation on 2025-09-11.

Practice Location & Contact Primary Location

Practice Address

1610 W Lincoln Ave

Yakima, WA 989022408

Telephone 3604710199
Associated Practice Facility / Clinic
🏢 Albertsons Llc Facility NPI 1720034119

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Yakima, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
177 Specialists

Practicing in Yakima, WA (7956 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA 61076550

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1487917134

Doctor of Pharmacy (Pharm.D.)

NPI 1821351776

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 11, 2025

Record deactivated on September 11, 2025

NPI Profile Active October 26, 2020

NPI status registered as active in NPPES database

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Updated Practice Location October 26, 2020

Registered at 1610 W LINCOLN AVE, YAKIMA, WA 989022408 (Tel: 3604710199)

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Updated Business Mailing Address October 26, 2020

Registered at 3695 SE SOHOLT LN, PORT ORCHARD, WA 983677899 (Tel: 3604710199)

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Provider Name / Credentials Updated October 26, 2020

Recorded as BLAINE PERVINICH, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Pharmacist (License #61076550 in WA)

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Initial NPI Registration & Enumeration October 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922608439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2020
Last Update: October 26, 2020
Deactivation Date: September 11, 2025

Mailing Address

3695 Se Soholt Ln

Port Orchard, WA 983677899

Phone: 3604710199

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.