Active NPI
Kathileen Boren
- Pharmacist
- Seattle, WA
National Provider Identifier
1124427885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60476081
- Practice address
- 6401 12TH Ave NE
Seattle, WA 98115-6754 - Phone
- (206) 525-3754
- NPI assigned
- Aug 19, 2014
- 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 | 183500000X | PH60476081 | WA | Primary |
Addresses
Primary practice location
6401 12TH Ave NE
Seattle, WA 98115-6754
Mailing address
129 21St Ave E Apt 1
Seattle, WA 98112-5327
Phone (206) 525-3754
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 |
|---|---|---|---|
| PH60476081 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bartell Drug Co | Past | Accepting new patients | |
| The Bartell Drug Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1124427885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 21ST AVE E APT 1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125327",
"telephone_number": "206-525-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 12TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156754",
"telephone_number": "206-525-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOREN",
"first_name": "KATHILEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60476081",
"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 Aug 19, 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.