Active NPI
Marvin Abbott, PHARMACIST
- Pharmacist
- Olympia, WA
National Provider Identifier
1053550384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00015882
- Practice address
- 3900 Capitol Mall Dr SW
Capital Medical Center Pharmacy
Olympia, WA 98502-8654 - Phone
- (360) 956-2559
- Fax
- (390) 956-3545
- NPI assigned
- Feb 10, 2009
- Last updated
- Feb 10, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00015882 | WA | Primary |
Addresses
Primary practice location
3900 Capitol Mall Dr SW
Capital Medical Center Pharmacy
Olympia, WA 98502-8654
Mailing address
7 Ivy Ridge LN
Oakville, WA 98568-9652
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 |
|---|---|---|---|
| PH00015882 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1053550384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 IVY RIDGE LN",
"city": "OAKVILLE",
"state": "WA",
"postal_code": "985689652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 CAPITOL MALL DR SW",
"address_2": "CAPITAL MEDICAL CENTER PHARMACY",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028654",
"telephone_number": "360-956-2559",
"fax_number": "390-956-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "MARVIN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-10",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00015882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.