Individual provider Active NPI

Mari Tanimoto

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1174827109
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00053884 Issued in WA
Practice address
4468 Stone Way N
Seattle, WA 98103-7587
Phone
(206) 547-1226
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00053884 WA Primary

Addresses

Primary practice location

4468 Stone Way N
Seattle, WA 98103-7587

Mailing address

4468 Stone Way N
Seattle, WA 98103-7587
Phone (206) 547-1226

Other practice location 1

2650 Bridgeport Way W
University Place, WA 98466-4720
Phone (253) 564-0351

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

LicenseStateTypeSpecialty
PH00053884WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients

Locations

4468 Stone Way N
Seattle, WA 98103
Phone (206) 547-1226

Organizations & group practices 3

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1174827109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037587",
            "telephone_number": "206-547-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4468 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037587",
            "telephone_number": "206-547-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Bridgeport Way W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664720",
            "country_code": "US",
            "telephone_number": "253-564-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANIMOTO",
        "first_name": "MARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00053884",
            "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 Dec 20, 2022; 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.