Individual provider Active NPI

Andrea S Giles, PHARM.D.

  • Pharmacist
  • Lynnwood, WA
National Provider Identifier
1205100781
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00022186 Issued in WA
Practice address
2902 164TH St SW
Lynnwood, WA 98087-3201
Phone
(425) 787-4933
Fax
(425) 787-4927
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00022186 WA Primary

Addresses

Primary practice location

2902 164TH St SW
Lynnwood, WA 98087-3201

Mailing address

2902 164TH St SW
Lynnwood, WA 98087-3201
Phone (425) 787-4933

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
PH00022186WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1205100781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 164TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873201",
            "telephone_number": "425-787-4933",
            "fax_number": "425-787-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 164TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873201",
            "telephone_number": "425-787-4933",
            "fax_number": "425-787-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "ANDREA",
        "middle_name": "S",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00022186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.