Active NPI
Julie Ridewood
- Pharmacist
- Marysville, WA
National Provider Identifier
1033513486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00017126
- Practice address
- 3711 88TH St NE
Marysville, WA 98270-7214 - Phone
- (360) 530-7761
- Fax
- (360) 530-7795
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | PH00017126 | WA | Primary |
Addresses
Primary practice location
3711 88TH St NE
Marysville, WA 98270-7214
Mailing address
3711 88TH St NE
Marysville, WA 98270-7214
Phone (360) 530-7761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00017126 | Other | WA | STATE PHARMACIST LICENSE |
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 |
|---|---|---|---|
| PH00017126 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1033513486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 88TH ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707214",
"telephone_number": "360-530-7761",
"fax_number": "360-530-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 88TH ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707214",
"telephone_number": "360-530-7761",
"fax_number": "360-530-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDEWOOD",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00017126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "PH00017126",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.