Individual provider Active NPI

John Biasco, PHARMD

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1376889352
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60245016 Issued in WA
Practice address
4744 12TH Ave NE Apt 503
Apt 503
Seattle, WA 98105-4695
Phone
(773) 936-5773
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60245016 WA Primary

Addresses

Primary practice location

4744 12TH Ave NE Apt 503
Apt 503
Seattle, WA 98105-4695

Mailing address

4744 12TH Ave NE Apt 503
Apt 503
Seattle, WA 98105-4695
Phone (773) 936-5773

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

LicenseStateTypeSpecialty
PH60245016WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1376889352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 12TH AVE NE APT 503",
            "address_2": "APT 503",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054695",
            "telephone_number": "773-936-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 12TH AVE NE APT 503",
            "address_2": "APT 503",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054695",
            "telephone_number": "773-936-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIASCO",
        "first_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60245016",
            "primary": true
        }
    ],
    "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 Dec 20, 2012; 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.