Active NPI
George Paul Hissong
- Pharmacist
- Seattle, WA
National Provider Identifier
1083240063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IR60694669
- Practice address
- 201 16TH Ave E
Seattle, WA 98112-5226 - Phone
- (206) 326-3000
- NPI assigned
- Mar 21, 2020
- Last updated
- Mar 21, 2020
- 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 | IR60694669 | WA | Primary |
Addresses
Primary practice location
201 16TH Ave E
Seattle, WA 98112-5226
Mailing address
1020 23Rd St Apt 105
Bellingham, WA 98225-6856
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 |
|---|---|---|---|
| IR60694669 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584748800000",
"number": "1083240063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 23RD ST APT 105",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982256856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125226",
"telephone_number": "206-326-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISSONG",
"first_name": "GEORGE",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-21",
"last_updated": "2020-03-21",
"certification_date": "2020-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR60694669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.