Active NPI
Cynthia Widmaier, R.PH.
- Pharmacist
- Woodinville, WA
National Provider Identifier
1124423363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00011603
- Practice address
- 17641 Garden Way NE
Woodinville, WA 98072-3535 - Phone
- (425) 398-6710
- Fax
- (425) 398-6728
- NPI assigned
- Oct 30, 2014
- 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 | PH00011603 | WA | Primary |
Addresses
Primary practice location
17641 Garden Way NE
Woodinville, WA 98072-3535
Mailing address
17641 Garden Way NE
Woodinville, WA 98072-3535
Phone (425) 398-6710
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 |
|---|---|---|---|
| PH00011603 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1124423363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17641 GARDEN WAY NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980723535",
"telephone_number": "425-398-6710",
"fax_number": "425-398-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17641 GARDEN WAY NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980723535",
"telephone_number": "425-398-6710",
"fax_number": "425-398-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDMAIER",
"first_name": "CYNTHIA",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00011603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.