Active NPI
Rebecca Ann Spain, RPH
- Pharmacist
- Issaquah, WA
National Provider Identifier
1184910424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH0020228
- Practice address
- 755 NW Gilman Blvd
Issaquah, WA 98027-5357 - Phone
- (425) 507-1020
- Fax
- (425) 507-1020
- NPI assigned
- Jun 24, 2011
- Last updated
- Jun 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH0020228 | WA | Primary |
Addresses
Primary practice location
755 NW Gilman Blvd
Issaquah, WA 98027-5357
Mailing address
755 NW Gilman Blvd
Issaquah, WA 98027-5357
Phone (425) 507-1020
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH0020228 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1184910424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 NW GILMAN BLVD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275357",
"telephone_number": "425-507-1020",
"fax_number": "425-507-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 NW GILMAN BLVD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275357",
"telephone_number": "425-507-1020",
"fax_number": "425-507-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH0020228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.