Active NPI
Lily L Peacock, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Redmond, WA
National Provider Identifier
1386905594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH00071668
- Practice address
- 23475 NE Novelty Hill Rd
Redmond, WA 98053-5501 - Phone
- (425) 636-0440
- NPI assigned
- Jun 4, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00071668 | WA | Primary |
Addresses
Primary practice location
23475 NE Novelty Hill Rd
Redmond, WA 98053-5501
Mailing address
23475 NE Novelty Hill Rd
Redmond, WA 98053-5501
Phone (425) 636-0440
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 |
|---|---|---|---|
| PH00071668 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1386905594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23475 NE NOVELTY HILL RD",
"city": "REDMOND",
"state": "WA",
"postal_code": "980535501",
"telephone_number": "425-636-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23475 NE NOVELTY HILL RD",
"city": "REDMOND",
"state": "WA",
"postal_code": "980535501",
"telephone_number": "425-636-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "LILY",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00071668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
- Patricia Mu DMD PC
- Paul Sauvage PLLC
- Gretchen Paulovich, RN
- Peacehealth Networks on Demand, LLC (ZoomCare- Redmond)
- Peacehealth Networks on Demand, LLC (ZoomCare - Overlake)
- Amanda Peck
- Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics (Redmond)
- Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics (Redmond Ridge)
- April Pedranti, MS OTR/L
- Lydia Hillier Peltier, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.