Active NPI
Katelyn Marie Hancock, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bellingham, WA
National Provider Identifier
1104468982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 60837623
- Practice address
- 3301 Squalicum Pkwy
Bellingham, WA 98225-1919 - Phone
- (360) 788-8610
- Fax
- (360) 788-8611
- NPI assigned
- Oct 12, 2019
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 60837623 | WA | Primary |
Addresses
Primary practice location
3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Mailing address
1205 Euclid Ave
Bellingham, WA 98229-2557
Phone (509) 936-2111
Other practice location 1
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 738-6300 ext. 2941
Other practice location 2
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 738-6300 ext. 2941
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 |
|---|---|---|---|
| 60837623 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1104468982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 EUCLID AVE",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982292557",
"telephone_number": "509-936-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 SQUALICUM PKWY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251919",
"telephone_number": "360-788-8610",
"fax_number": "360-788-8611"
}
],
"practiceLocations": [
{
"address_1": "2901 Squalicum Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "98225",
"country_code": "US",
"telephone_number": "360-738-6300 x2941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2901 Squalicum Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "98225",
"country_code": "US",
"telephone_number": "360-738-6300 x2941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANCOCK",
"first_name": "KATELYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-12",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "60837623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.