Individual provider Active NPI

Douglas A Janachek, RPH

  • Pharmacist
  • Bremerton, WA
National Provider Identifier
1326024860
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00009369 Issued in WA
Practice address
925 Adele Ave
Bremerton, WA 98312-3521
Phone
(360) 782-0129
Fax
(360) 377-8029
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00009369 WA Primary

Addresses

Primary practice location

925 Adele Ave
Bremerton, WA 98312-3521

Mailing address

925 Adele Ave
Bremerton, WA 98312-3521
Phone (360) 782-0129

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
PH00009369WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1326024860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 ADELE AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123521",
            "telephone_number": "360-782-0129",
            "fax_number": "360-377-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 ADELE AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123521",
            "telephone_number": "360-782-0129",
            "fax_number": "360-377-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANACHEK",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00009369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.