Individual provider Active NPI

Subul Kashif, IR60810219

  • Pharmacist
  • Blaine, WA
National Provider Identifier
1376275974
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
IR60810219 Issued in WA
Practice address
1195 Boblett St
Blaine, WA 98230-4062
Phone
(360) 332-1616
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X IR60810219 WA Primary

Addresses

Primary practice location

1195 Boblett St
Blaine, WA 98230-4062

Mailing address

12817 Odessa Dr
Frisco, TX 75035-2395
Phone (604) 445-1872

Other names 1

  • Mrs. Subul Kashif Professional name

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

State licenses

LicenseStateTypeSpecialty
IR60810219WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1376275974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12817 ODESSA DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352395",
            "telephone_number": "604-445-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 BOBLETT ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304062",
            "telephone_number": "360-332-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHIF",
        "first_name": "SUBUL",
        "name_prefix": "Mrs.",
        "credential": "IR60810219",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "IR60810219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUBUL",
            "last_name": "KASHIF",
            "prefix": "MRS.",
            "credential": "IR60810219",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Blaine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.