Active NPI
Grace Gana, RPH, CGP
- Pharmacist
- Bothell, WA
National Provider Identifier
1326059304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00045962
- Practice address
- 16125 Juanita-Wood Way NE Unit 2214
Bothell, WA 98011-9444 - Phone
- (206) 419-0482
- NPI assigned
- Aug 11, 2006
- Last updated
- Feb 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00045962 | WA | Primary |
| Geriatric Pharmacist | 1835G0303X | PH00045962 | WA |
Addresses
Primary practice location
16125 Juanita-Wood Way NE Unit 2214
Bothell, WA 98011-9444
Mailing address
16125 Juanita-Wood Way NE Unit 2214
Bothell, WA 98011-9444
Phone (206) 419-0482
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH00045962 | WA | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elim Consultants, LLC. | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Bothell, WA
- NPI 1821385667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1326059304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16125 JUANITA-WOOD WAY NE UNIT 2214",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980119444",
"telephone_number": "206-419-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16125 JUANITA-WOOD WAY NE UNIT 2214",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980119444",
"telephone_number": "206-419-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANA",
"first_name": "GRACE",
"credential": "RPH, CGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00045962",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "WA",
"license": "PH00045962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.