Active NPI
Yvonne Mark, PHARMD
- Pharmacist
- Seattle, WA
National Provider Identifier
1225098437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00040469
- Practice address
- 1959 NE Pacific St
Box 354735
Seattle, WA 98195-0001 - Phone
- (206) 598-5579
- Fax
- (206) 598-2717
- NPI assigned
- Mar 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00040469 | WA | |
| Pharmacist | 183500000X | 00040469 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Box 354735
Seattle, WA 98195-0001
Mailing address
4616 25TH Ave NE
#350
Seattle, WA 98105-4183
Phone (206) 598-5579
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00040469 | WA | MD | Pharmacist |
| PH00040469 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1225098437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 25TH AVE NE",
"address_2": "#350",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054183",
"telephone_number": "206-598-5579",
"fax_number": "206-598-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 354735",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-598-5579",
"fax_number": "206-598-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "YVONNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00040469",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "00040469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.