Active NPI
Sean Collins
- Pharmacist
- Toppenish, WA
National Provider Identifier
1033649256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60831339
- Practice address
- 401 Buster Rd
Toppenish, WA 98948-9792 - Phone
- (509) 865-1703
- Fax
- (509) 865-8753
- NPI assigned
- Jun 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA-PHA-LIC-51219 | MT | |
| Pharmacist | 183500000X | PH60831339 | WA | Primary |
Addresses
Primary practice location
401 Buster Rd
Toppenish, WA 98948-9792
Mailing address
3016 S Harrison St
Kennewick, WA 99338-2044
Phone (406) 461-6852
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 |
|---|---|---|---|
| PHA-PHA-LIC-51219 | MT | MD | Pharmacist |
| PH60831339 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1033649256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 S HARRISON ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382044",
"telephone_number": "406-461-6852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BUSTER RD",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989489792",
"telephone_number": "509-865-1703",
"fax_number": "509-865-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "PHA-PHA-LIC-51219",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60831339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.