Sherine Bolos, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60174616 Issued in WA

Practice address

12400 E Marginal Way S
Amb-2 Pharmacy Adminstration
Tukwila, WA 98168-2559

Phone

(425) 901-7497

NPI assigned

Feb 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sherine Goor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1386940476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 E MARGINAL WAY S",
            "address_2": "AMB-2 PHARMACY ADMINSTRATION",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981682559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 E MARGINAL WAY S",
            "address_2": "AMB-2 PHARMACY ADMINSTRATION",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981682559",
            "telephone_number": "425-901-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOS",
        "first_name": "SHERINE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60174616",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERINE",
            "last_name": "GOOR",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Michael Blasko
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• Charles Bobo, CDPT
• Marc Bodow, MD
• Yourhighness Elijah Bolar
• Joshua Bonacci
• Sierra Jordan Bond, LMFT
• Tatiana Bongoy
• Kelsey Boone
• Nikolas Borak

• Pharmacist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.