NPI Code Detail JSON Logo

1104969518 NPI number — PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY

NPI Number: 1104969518
Health Care Provider/Practitioner: PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY

Information about “1104969518” NPI (PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY) exists in 1104969518 in HTML format HTML  |  1104969518 in plain Text format TXT  |  1104969518 in PDF (Portable Document Format) PDF  |  1104969518 in an XML format XML  formats.

NPI Number : 1104969518 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104969518",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3915 TALBOT RD S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98055-5738",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-656-4050",
    "MailingAddressFaxNumber": "425-656-5036",
    "FirstLinePracticeLocationAddress": "3915 TALBOT RD S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENTON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98055-5738",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-656-4050",
    "PracticeLocationAddressFaxNumber": "425-656-5036",
    "EnumerationDate": "02/15/2007",
    "LastUpdateDate": "09/23/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KENYON",
    "AuthorizedOfficialFirstName": "KEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF PHARMACY SERVICES/AO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHARMD",
    "AuthorizedOfficialTelephoneNumber": "425-228-3440",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336C0002X",
          "TaxonomyName": "Clinic Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336I0012X",
          "TaxonomyName": "Institutional Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "PHAR.CF.60213412",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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