Active NPI
Gregory Scott Patenaude, PHARM. D.
- Pharmacist
- Seattle, WA
National Provider Identifier
1093970006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00065105
- Practice address
- 802 3Rd Ave
Seattle, WA 98104-1602 - Phone
- (206) 623-0577
- NPI assigned
- Jul 20, 2008
- 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 | PH00065105 | WA | Primary |
Addresses
Primary practice location
802 3Rd Ave
Seattle, WA 98104-1602
Mailing address
1530 NW Market St
#209
Seattle, WA 98107-5241
Phone (425) 830-1117
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 |
|---|---|---|---|
| PH00065105 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216512000000",
"number": "1093970006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 NW MARKET ST",
"address_2": "#209",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075241",
"telephone_number": "425-830-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041602",
"telephone_number": "206-623-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATENAUDE",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-20",
"last_updated": "2008-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00065105",
"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 Jul 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.