Active NPI
Amy Killoran
- Pharmacist
- Bremerton, WA
National Provider Identifier
1174846323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60586422
- Practice address
- 6797 St Hwy 303 NE
Bremerton, WA 98311-3736 - Phone
- (360) 698-3446
- Fax
- (360) 698-1326
- NPI assigned
- Mar 2, 2010
- 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 | 0507791 | NY | |
| Pharmacist | 183500000X | PH60586422 | WA | Primary |
Addresses
Primary practice location
6797 St Hwy 303 NE
Bremerton, WA 98311-3736
Mailing address
6797 St Hwy 303 NE
Bremerton, WA 98311-3736
Phone (360) 698-3446
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 |
|---|---|---|---|
| 0507791 | NY | MD | Pharmacist |
| PH60586422 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471737600000",
"number": "1174846323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6797 ST HWY 303 NE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113736",
"telephone_number": "360-698-3446",
"fax_number": "360-698-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6797 ST HWY 303 NE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113736",
"telephone_number": "360-698-3446",
"fax_number": "360-698-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLORAN",
"first_name": "AMY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2016-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0507791",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60586422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.