Active NPI
John R Welborn, RPH
- Nuclear Pharmacist
- Spokane, WA
National Provider Identifier
1003191685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- PH60028045
- Practice address
- 413 E Pacific Ave
Spokane, WA 99202-1434 - Phone
- (509) 747-3060
- NPI assigned
- Oct 14, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nuclear Pharmacist | 1835N0905X | PH60028045 | WA | Primary |
Addresses
Primary practice location
413 E Pacific Ave
Spokane, WA 99202-1434
Mailing address
413 E Pacific Ave
Spokane, WA 99202-1434
Phone (509) 747-3060
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60028045 | WA | MD | Nuclear Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1003191685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 E PACIFIC AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021434",
"telephone_number": "509-747-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 E PACIFIC AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021434",
"telephone_number": "509-747-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELBORN",
"first_name": "JOHN",
"middle_name": "R",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "WA",
"license": "PH60028045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.