Individual provider Active NPI

Stephanie Pesey Poch, PHARMD

  • Pharmacist
  • Woodinville, WA
National Provider Identifier
1184496069
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61451631 Issued in WA
Practice address
8131 W Bostian Rd
Woodinville, WA 98072-5027
Phone
(425) 951-5014
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61451631 WA Primary

Addresses

Primary practice location

8131 W Bostian Rd
Woodinville, WA 98072-5027

Mailing address

906 196TH PL SW
Lynnwood, WA 98036-7189
Phone (425) 773-8021

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
PH61451631WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1184496069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 196TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367189",
            "telephone_number": "425-773-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 W BOSTIAN RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980725027",
            "telephone_number": "425-951-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCH",
        "first_name": "STEPHANIE",
        "middle_name": "PESEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61451631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.