Individual provider Active NPI

Joannalyn San Buenaventura, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Renton, WA
National Provider Identifier
1386160687
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
VA00066211 Issued in WA
Practice address
1200 SW 27TH St
Renton, WA 98057-2603
Phone
(206) 630-7910
Fax
(877) 224-4167
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X VA00066211 WA Primary

Addresses

Primary practice location

1200 SW 27TH St
Renton, WA 98057-2603

Mailing address

2737 Diamond St Unit a
Milton, WA 98354-8348
Phone (253) 347-9091

Other identifiers 2

IdentifierTypeStateIssuer
VA00066211OtherWAWA PHARMACY TECHNICIAN LICENSE
360101060763490OtherPTCB LICENSE

Other names 1

  • Ms. Joannalyn Ramelb Former 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
VA00066211WAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1386160687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 DIAMOND ST UNIT A",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983548348",
            "telephone_number": "253-347-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SW 27TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572603",
            "telephone_number": "206-630-7910",
            "fax_number": "877-224-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN BUENAVENTURA",
        "first_name": "JOANNALYN",
        "name_prefix": "Mrs.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00066211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA PHARMACY TECHNICIAN LICENSE",
            "identifier": "VA00066211",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB LICENSE",
            "identifier": "360101060763490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNALYN",
            "last_name": "RAMELB",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 16, 2018; 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.