Active NPI
Connie L Shafer, RPH
- Pharmacist
- Seattle, WA
National Provider Identifier
1104813112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010295
- Practice address
- 2324 Eastlake Ave E
Suite 405
Seattle, WA 98102-3345 - Phone
- (206) 448-6275
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- 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 | PH00010295 | WA | Primary |
Addresses
Primary practice location
2324 Eastlake Ave E
Suite 405
Seattle, WA 98102-3345
Mailing address
134 NE 63Rd St
Seattle, WA 98115-6537
Phone (206) 524-4365
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010295 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104813112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 NE 63RD ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156537",
"telephone_number": "206-524-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 EASTLAKE AVE E",
"address_2": "SUITE 405",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023345",
"telephone_number": "206-448-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "CONNIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010295",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.