Sonya Kousoum, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60167788 Issued in WA

Practice address

13023 Greenwood Ave N
Seattle, WA 98133-7308

Phone

(206) 365-4048

Fax

(206) 365-4096

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ottersens Pharmeceutical Services

  • Long Term Care Pharmacy
  • Seattle, WA
  • NPI 1477500080
  NPD Authorized official
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Puyallup, WA
  • NPI 1245251131
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1316253248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SUMMIT AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304714",
            "telephone_number": "801-699-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337308",
            "telephone_number": "206-365-4048",
            "fax_number": "206-365-4096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11220 Canyon Rd E",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983734354",
            "country_code": "US",
            "telephone_number": "253-537-3071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUSOUM",
        "first_name": "SONYA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6092318-1701",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60167788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Koudela, D.D.S., M.S.D
• Jennifer Ellen Koukoumidis, MS
• Soren Kounts
• Kelsey Marie Koupal, M.A. CCC-SLP
• Ashley Nicole Kourn
• Koutsoumbas & Lintakoon DDS PLLC
• Margarita Koutsoumbas, DDS
• Tracie Kovac, R.N.
• Megan Kovacevic, LMFT
• Lynn Kovacevich

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.