Active NPI
Krista Lorraine Glasson Killmer, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Vancouver, WA
National Provider Identifier
1164049177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH61062308
- Practice address
- 14505 NE Fourth Plain Blvd
Vancouver, WA 98682-5003 - Phone
- (360) 258-2653
- NPI assigned
- Jun 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61062308 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH61062308 | WA | Primary |
Addresses
Primary practice location
14505 NE Fourth Plain Blvd
Vancouver, WA 98682-5003
Mailing address
316 2ND St NE
Long Beach, WA 98631-2663
Phone (360) 244-1073
Other practice location 1
101 Bolstad St
Long Beach, WA 98631-6027
Phone (360) 642-3200
Other practice location 2
101 Bolstad St
Long Beach, WA 98631-6027
Phone (360) 642-3200
Other practice location 3
1501 Bay Ave
Ocean Park, WA 98640-4203
Phone (360) 665-5181
Other practice location 4
515 Commercial St
Raymond, WA 98577-2509
Phone (360) 942-2634
Other practice location 5
6720 NE 84th St
Vancouver, WA 98665-2016
Phone (360) 828-2262
Other practice location 6
14505 NE Fourth Plain Blvd
Vancouver, WA 98682
Phone (360) 258-2653
Other practice location 7
101 1st Ave S
Ilwaco, WA 98624-9100
Phone (360) 642-3133
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH61062308 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sagen'S Pharmacy Inc | Pharmacist | Past | Accepting new patients |
| Sagen'S Pharmacy Inc | 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.
-
- Long Term Care Pharmacy
- Raymond, WA
- NPI 1760136493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1164049177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 2ND ST NE",
"city": "LONG BEACH",
"state": "WA",
"postal_code": "986312663",
"telephone_number": "360-244-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 NE FOURTH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986825003",
"telephone_number": "360-258-2653"
}
],
"practiceLocations": [
{
"address_1": "101 Bolstad St",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "WA",
"postal_code": "986316027",
"country_code": "US",
"telephone_number": "360-642-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Bolstad St",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "WA",
"postal_code": "986316027",
"country_code": "US",
"telephone_number": "360-642-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Bay Ave",
"address_purpose": "LOCATION",
"city": "Ocean Park",
"state": "WA",
"postal_code": "986404203",
"country_code": "US",
"telephone_number": "360-665-5181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Commercial St",
"address_purpose": "LOCATION",
"city": "Raymond",
"state": "WA",
"postal_code": "985772509",
"country_code": "US",
"telephone_number": "360-942-2634",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6720 NE 84th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986652016",
"country_code": "US",
"telephone_number": "360-828-2262",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14505 NE Fourth Plain Blvd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "98682",
"country_code": "US",
"telephone_number": "360-258-2653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 1st Ave S",
"address_purpose": "LOCATION",
"city": "Ilwaco",
"state": "WA",
"postal_code": "986249100",
"country_code": "US",
"telephone_number": "360-642-3133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLASSON KILLMER",
"first_name": "KRISTA",
"middle_name": "LORRAINE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61062308",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH61062308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.