Individual provider Active NPI

Lyudmila Moskalenko, RPH

  • Pharmacist
  • Kirkland, WA
National Provider Identifier
1295995645
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00049041 Issued in WA
Practice address
9820 NE 132ND St
Kirkland, WA 98034-1927
Phone
(425) 823-4488
Fax
(425) 821-6484
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00049041 WA Primary

Addresses

Primary practice location

9820 NE 132ND St
Kirkland, WA 98034-1927

Mailing address

16201 NE 45TH CT
Redmond, WA 98052-5442
Phone (425) 881-1220

Other names 1

  • Luda Moskalenko Professional name

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH00049041WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1295995645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 NE 45TH CT",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525442",
            "telephone_number": "425-881-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 NE 132ND ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341927",
            "telephone_number": "425-823-4488",
            "fax_number": "425-821-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKALENKO",
        "first_name": "LYUDMILA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00049041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUDA",
            "last_name": "MOSKALENKO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jun 10, 2008; 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.