Active NPI
Caroline Cornett Buck, R.PH.
- Pharmacist
- Renton, WA
National Provider Identifier
1366426736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010403
- Practice address
- 16940 116TH Ave SE
Renton, WA 98058-5952 - Phone
- (425) 226-2901
- Fax
- (425) 235-9080
- NPI assigned
- Nov 30, 2005
- 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 | PH00010403 | WA | Primary |
Addresses
Primary practice location
16940 116TH Ave SE
Renton, WA 98058-5952
Mailing address
16940 116TH Ave SE
Renton, WA 98058-5952
Phone (425) 226-2901
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 |
|---|---|---|---|
| PH00010403 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bartell Drug Co | Past | Accepting new patients | |
| Bartell Drug 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Renton, WA
- NPI 1639281611
-
- Pharmacy
- Seattle, WA
- NPI 1518517101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1366426736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16940 116TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980585952",
"telephone_number": "425-226-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16940 116TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980585952",
"telephone_number": "425-226-2901",
"fax_number": "425-235-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "CAROLINE",
"middle_name": "CORNETT",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.