Active NPI
Michael Thomas Puccio, PHARM.D.
- Pharmacist
- Seattle, WA
National Provider Identifier
1326419219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60569900
- Practice address
- 2603 3Rd Ave
Seattle, WA 98121-1213 - Phone
- (206) 441-8790
- NPI assigned
- Oct 17, 2015
- Sex
- Male
- 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 | PH60569900 | WA | Primary |
| Pharmacist | 183500000X | PS52297 | FL |
Addresses
Primary practice location
2603 3Rd Ave
Seattle, WA 98121-1213
Mailing address
2603 3Rd Ave
Seattle, WA 98121-1213
Phone (206) 441-8790
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS52297 | FL | MD | Pharmacist |
| PH60569900 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Seattle, WA
- NPI 1215046537
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445040000000",
"number": "1326419219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211213",
"telephone_number": "206-441-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 3RD AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211213",
"telephone_number": "206-441-8790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCCIO",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-17",
"last_updated": "2015-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60569900",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52297",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.