Individual provider Active NPI

Shilpa Korah, PHARMD

  • Pharmacist
  • Kirkland, WA
National Provider Identifier
1003326943
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60771217 Issued in WA
Practice address
12040 NE 128TH St
Tan 415/ MS31
Kirkland, WA 98034-9803
Phone
(425) 899-2783
Fax
(425) 899-2784
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61453 TX
Pharmacist 183500000X PH60771217 WA Primary

Addresses

Primary practice location

12040 NE 128TH St
Tan 415/ MS31
Kirkland, WA 98034-9803

Mailing address

606 Lilly Rd NE Apt 821
Olympia, WA 98506-6905
Phone (214) 228-7569

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
61453TXMDPharmacist
PH60771217WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreenhealthcare Past Accepting new patients
Evergreen Healthcare PastSince Mar 4, 2021 Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1003326943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LILLY RD NE APT 821",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066905",
            "telephone_number": "214-228-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 NE 128TH ST",
            "address_2": "TAN 415/ MS31",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349803",
            "telephone_number": "425-899-2783",
            "fax_number": "425-899-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORAH",
        "first_name": "SHILPA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61453",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60771217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.