Individual provider Active NPI

Silverio Arevalo Martinez, PHARMD

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1124498670
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60488851 Issued in WA
Practice address
8800 14TH Ave S
Seattle, WA 98108-4864
Phone
(206) 762-3397
NPI assigned
Sep 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60488851 WA Primary

Addresses

Primary practice location

8800 14TH Ave S
Seattle, WA 98108-4864

Mailing address

9229 17TH Ave SW Unit B
Seattle, WA 98106-2744

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

LicenseStateTypeSpecialty
PH60488851WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Past Accepting new patients
Sea Mar Community Health Centers 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": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443312000000",
    "number": "1124498670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 17TH AVE SW UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084864",
            "telephone_number": "206-762-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO MARTINEZ",
        "first_name": "SILVERIO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60488851",
            "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 Sep 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.