Individual provider Active NPI

John Leon Somers, PHARMACIST

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Everett, WA
National Provider Identifier
1184917023
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PH00007989 Issued in WA
Practice address
3305 Nassau St # 101
Everett, WA 98201-4140
Phone
(425) 258-7222
Fax
(425) 259-7225
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH00007989 WA Primary

Addresses

Primary practice location

3305 Nassau St # 101
Everett, WA 98201-4140

Mailing address

3305 Nassau St # 101
Everett, WA 98201-4140
Phone (425) 258-7222

Other identifiers 1

IdentifierTypeStateIssuer
PH00007989OtherWASTATE PHARMACY LICENSE

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
PH00007989WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1184917023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 NASSAU ST # 101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014140",
            "telephone_number": "425-258-7222",
            "fax_number": "425-259-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NASSAU ST # 101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014140",
            "telephone_number": "425-258-7222",
            "fax_number": "425-259-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "JOHN",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH00007989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PH00007989",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.