Active NPI
Ramalingam Balakrishnan Koimuttum, B.PHARM
- Pharmacist
- Milton, WA
National Provider Identifier
1245548965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00066423
- Practice address
- 900 Meridian E
Milton, WA 98354 - Phone
- (253) 952-2680
- NPI assigned
- Sep 15, 2010
- Sex
- Male
- 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 | PH00066423 | WA | Primary |
Addresses
Primary practice location
900 Meridian E
Milton, WA 98354
Mailing address
6115 NE 4TH PL
Renton, WA 98059
Phone (253) 852-0173
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 |
|---|---|---|---|
| PH00066423 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1245548965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6115 NE 4TH PL",
"city": "RENTON",
"state": "WA",
"postal_code": "98059",
"telephone_number": "253-852-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MERIDIAN E",
"city": "MILTON",
"state": "WA",
"postal_code": "98354",
"telephone_number": "253-952-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOIMUTTUM",
"first_name": "RAMALINGAM",
"middle_name": "BALAKRISHNAN",
"name_prefix": "Mr.",
"credential": "B.PHARM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00066423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.