Active NPI
Charles Burke De Briere, RPH
- Pharmacist
- Woodinville, WA
National Provider Identifier
1205138609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010726
- Practice address
- 14612 Bear Creek Rd NE
Woodinville, WA 98077-7820 - Phone
- (425) 681-1300
- NPI assigned
- Nov 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | PH00010726 | WA | Primary |
Addresses
Primary practice location
14612 Bear Creek Rd NE
Woodinville, WA 98077-7820
Mailing address
14612 Bear Creek Road NE
Woodinville, WA 98077-7820
Phone (425) 681-1300
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 |
|---|---|---|---|
| PH00010726 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1205138609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14612 BEAR CREEK ROAD NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980777820",
"telephone_number": "425-681-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14612 BEAR CREEK RD NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980777820",
"telephone_number": "425-681-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BRIERE",
"first_name": "CHARLES",
"middle_name": "BURKE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010726",
"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 Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.