Kathleen Margaret Mishurov, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60753576 Issued in WA

Practice address

15615 Bel Red Rd Ste B
Bellevue, WA 98008-2300

Phone

(425) 881-0222

Fax

(425) 885-1213

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Margaret Healy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Ipsen Pharmacy Services LLC

  • Compounding Pharmacy
  • Bellevue, WA
  • NPI 1326598640
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1013512631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24106 185TH LOOP SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424897",
            "telephone_number": "425-478-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 BEL RED RD STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082300",
            "telephone_number": "425-881-0222",
            "fax_number": "425-885-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHUROV",
        "first_name": "KATHLEEN",
        "middle_name": "MARGARET",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60753576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HEALY",
            "middle_name": "MARGARET",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margaret Mioduszewski, M.D.
• Trinna Miranda
• Susanna R Mirel, ARNP
• Arash Mirzaie Amirabadi, MD
• Steve J Mischke, R.PH.
• Mae Miskimon, ARNP, RN
• Heather Misner
• Jessica B Misner, PSY.D., ABPP
• Laurelee Michaela Misseghers, RD
• Mission Healthcare at Bellevue, Joint Venture

• Pharmacist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.