Kristine Joy Borgonia

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH61496394 Issued in WA

Practice address

3333 S 120TH PL Ste 100
Tukwila, WA 98168-5134

Phone

(425) 687-4400

NPI assigned

May 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Providence Health & Services - Washington

  • Home Infusion Therapy Pharmacy
  • Tukwila, WA
  • NPI 1285687749
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1336998186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S 120TH PL STE 100",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S 120TH PL STE 100",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685134",
            "telephone_number": "425-687-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGONIA",
        "first_name": "KRISTINE JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH61496394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Bongoy
• Kelsey Boone
• Nikolas Borak
• Kevin Ray Boren, LMHC, CDP, LPC, NCC
• Sarah Shevonne Borger, LMHCA, ATR-P
• Christopher Brian Borgstadt, BA
• Hannah Borja
• Kory Botelho, O.D.
• Boualoys Massage LLC
• Anca Maria Boudreaux, LMHC, NCC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.