Active NPI
Genia J Moncada
- Pharmacist
- Seattle, WA
National Provider Identifier
1003029943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009861
- Practice address
- 325 9TH Ave
Mailstop 359912
Seattle, WA 98104-2420 - Phone
- (206) 731-3219
- Fax
- (206) 731-6076
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00009861 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Mailstop 359912
Seattle, WA 98104-2420
Mailing address
5022 SW Edmunds St
Seattle, WA 98116-4345
Phone (206) 937-5371
Other names 1
- Genia J Bolich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009861 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003029943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5022 SW EDMUNDS ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164345",
"telephone_number": "206-937-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"address_2": "MAILSTOP 359912",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-731-3219",
"fax_number": "206-731-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONCADA",
"first_name": "GENIA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GENIA",
"last_name": "BOLICH",
"middle_name": "J",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.