Active NPI
Laura Eileen Endres, PHARM D
- Pharmacist
- Kirkland, WA
National Provider Identifier
1033483870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00056192
- Practice address
- 12221 120TH Ave NE
Kirkland, WA 98034-6905 - Phone
- (425) 820-3233
- Fax
- (425) 820-3238
- NPI assigned
- Feb 24, 2012
- 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 | 00056192 | WA | Primary |
Addresses
Primary practice location
12221 120TH Ave NE
Kirkland, WA 98034-6905
Mailing address
12221 120TH Ave NE
Kirkland, WA 98034-6905
Phone (425) 820-3233
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00056192 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc | Past | Accepting new patients | |
| Fred Meyer Stores Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1033483870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 120TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346905",
"telephone_number": "425-820-3233",
"fax_number": "425-820-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 120TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346905",
"telephone_number": "425-820-3233",
"fax_number": "425-820-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDRES",
"first_name": "LAURA",
"middle_name": "EILEEN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "00056192",
"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 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.