Active NPI
Manuela Perkins, RPH CGP
- Geriatric Pharmacist
- Lynnwood, WA
National Provider Identifier
1376936765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- PH30169543
- Practice address
- 2902 164TH St SW
Lynnwood, WA 98087-3201 - Phone
- (425) 741-7750
- Fax
- (425) 259-8600
- NPI assigned
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | PH30169543 | WA | Primary |
Addresses
Primary practice location
2902 164TH St SW
Lynnwood, WA 98087-3201
Mailing address
15720 Manor Way
C8
Lynnwood, WA 98087-6240
Phone (206) 747-1636
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 |
|---|---|---|---|
| PH30169543 | WA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1376936765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15720 MANOR WAY",
"address_2": "C8",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980876240",
"telephone_number": "206-747-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 164TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980873201",
"telephone_number": "425-741-7750",
"fax_number": "425-259-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "MANUELA",
"credential": "RPH CGP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "WA",
"license": "PH30169543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.