Active NPI
Katrina Angela Ejes Gearhart
- Pharmacist
- Puyallup, WA
National Provider Identifier
1235412842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60605520
- Practice address
- 401 15TH Ave SE
Puyallup, WA 98372-3715 - Phone
- (253) 697-3494
- NPI assigned
- Sep 21, 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 | PH60605520 | WA | Primary |
Addresses
Primary practice location
401 15TH Ave SE
Puyallup, WA 98372-3715
Mailing address
401 15TH Ave SE
Puyallup, WA 98372-3715
Phone (253) 697-3494
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60605520 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1235412842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 15TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723715",
"telephone_number": "253-697-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 15TH AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723715",
"telephone_number": "253-697-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "KATRINA ANGELA",
"middle_name": "EJES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60605520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.