Individual provider Active NPI

Ken J Warter, RPH

  • Pharmacist
  • Gig Harbor, WA
National Provider Identifier
1154458586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00009503 Issued in WA
Practice address
4818 Point Fosdick Dr NW
Gig Harbor, WA 98335-1711
Phone
(253) 851-6939
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00009503 WA Primary

Addresses

Primary practice location

4818 Point Fosdick Dr NW
Gig Harbor, WA 98335-1711

Mailing address

13113 Point Richmond Beach Rd NW
Gig Harbor, WA 98332-9658
Phone (253) 851-8575

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

LicenseStateTypeSpecialty
PH00009503WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154458586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13113 POINT RICHMOND BEACH RD NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983329658",
            "telephone_number": "253-851-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 POINT FOSDICK DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351711",
            "telephone_number": "253-851-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTER",
        "first_name": "KEN",
        "middle_name": "J",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00009503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.