Shaun Blum, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00065974 Issued in WA

Practice address

1050 Larrabee Ave
Ste 104-309
Bellingham, WA 98225-7367

Phone

(480) 747-3030

Fax

(602) 391-2727

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1265620983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LARRABEE AVE",
            "address_2": "STE 104-309",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257367",
            "telephone_number": "480-747-3030",
            "fax_number": "602-391-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LARRABEE AVE",
            "address_2": "STE 104-309",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257367",
            "telephone_number": "480-747-3030",
            "fax_number": "602-391-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00065974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Womens Healthcare PLLC
• Edward W. Bloom, MD
• Jessica J. Bloom, MD
• Steven M. Bloom, MD
• Jared Julius Blum, MD
• Wendy Blum
• Julia Blunt, MA ABS
• Simme Bobrosky, B.S.
• James J. Bochsler, M.D.
• Elizabeth Katharine Bodner, ARNP, CNM

• Pharmacist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.