Active NPI
Michelle Manaois, RPH
- Pharmacist
- Tukwila, WA
National Provider Identifier
1205113453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60205789
- Practice address
- 12400 E Marginal Way S
Tukwila, WA 98168-2559 - Phone
- (206) 901-4450
- NPI assigned
- Nov 15, 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 | PH60205789 | WA | Primary |
Addresses
Primary practice location
12400 E Marginal Way S
Tukwila, WA 98168-2559
Mailing address
3022 S Mount Baker Blvd
Seattle, WA 98144-6140
Phone (206) 427-3087
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 |
|---|---|---|---|
| PH60205789 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1205113453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 S MOUNT BAKER BLVD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981446140",
"telephone_number": "206-427-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 E MARGINAL WAY S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981682559",
"telephone_number": "206-901-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANAOIS",
"first_name": "MICHELLE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60205789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.