Individual provider Active NPI

Aparna Devarajan

  • Pharmacist
  • Kirkland, WA
National Provider Identifier
1255762159
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH 60394159 Issued in WA
Practice address
10625 NE 68TH St
Kirkland, WA 98033-7054
Phone
(425) 822-2241
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH 60394159 WA Primary
Pharmacist 183500000X 46036 TX

Addresses

Primary practice location

10625 NE 68TH St
Kirkland, WA 98033-7054

Mailing address

23128 SE 27TH Way
Sammamish, WA 98075-9495
Phone (214) 634-7466

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

LicenseStateTypeSpecialty
46036TXMDPharmacist
PH 60394159WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1255762159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23128 SE 27TH WAY",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759495",
            "telephone_number": "214-634-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 NE 68TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337054",
            "telephone_number": "425-822-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARAJAN",
        "first_name": "APARNA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 60394159",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "46036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.