Active NPI
Matt Binder
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Seattle, WA
National Provider Identifier
1386063014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH60771520
- Practice address
- 4225 11TH Ave NE
Seattle, WA 98105-4625 - Phone
- (206) 685-2715
- NPI assigned
- Apr 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60771520 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH60771520 | WA | Primary |
Addresses
Primary practice location
4225 11TH Ave NE
Seattle, WA 98105-4625
Mailing address
4225 11TH Ave NE
Seattle, WA 98105-4625
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60771520 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Park Pharmacy and Wellness Center LLC | Current | Accepting new patients | |
| Ostroms Enterprises Inc | Current | Accepting new patients | |
| Ostroms Enterprises Inc | Current | Accepting new patients |
Locations
4130 E Madison St
Seattle, WA 98112
Phone (206) 324-1188
Organizations & group practices 3
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
- Seattle, WA
- NPI 1750081030
-
- Community/Retail Pharmacy
- Kenmore, WA
- NPI 1285608729
-
- Long Term Care Pharmacy
- Kenmore, WA
- NPI 1396499026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1386063014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 11TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 11TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054625",
"telephone_number": "206-685-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINDER",
"first_name": "MATT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-09",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60771520",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH60771520",
"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 Jul 12, 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.