Active NPI
Hazel Floranda Porter, RPH
- Pharmacist
- Liberty Lake, WA
National Provider Identifier
1366391567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61577819
- Practice address
- 1502 N Liberty Lake Rd
Liberty Lake, WA 99019-8631 - Phone
- (509) 570-0485
- NPI assigned
- Jan 22, 2026
- Last updated
- Jan 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61577819 | WA | Primary |
Addresses
Primary practice location
1502 N Liberty Lake Rd
Liberty Lake, WA 99019-8631
Mailing address
1502 N Liberty Lake Rd
Liberty Lake, WA 99019-8631
Phone (509) 570-0485
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 |
|---|---|---|---|
| PH61577819 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1366391567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 N LIBERTY LAKE RD",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990198631",
"telephone_number": "509-570-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 N LIBERTY LAKE RD",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990198631",
"telephone_number": "509-570-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "HAZEL",
"middle_name": "FLORANDA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61577819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.