Haimanot Admassu, RPH
Individual provider Active NPI Pharmacist · Kirkland, WA
NPI 1295065043 · NPPES record last updated Dec 29, 2009
Key facts
- NPI
- 1295065043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH00068208 (WA)
- Practice address
- 12405 NE 85TH St
Kirkland, WA 98033-8032 - Phone
- (425) 822-9202
- Fax
- (425) 822-9407
- NPI assigned
- Dec 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00068208 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00068208 | WA | Yes |
Addresses
Primary practice location
12405 NE 85TH St
Kirkland, WA 98033-8032
Mailing address
12405 NE 85TH St
Kirkland, WA 98033-8032
Phone (425) 822-9202
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.