Amano N Gobena

Primary specialty

PharmacistTaxonomy code 183500000X

License

60647271 Issued in WA

Practice address

7631 212TH St SW
Edmonds, WA 98026-7565

Phone

(425) 977-4880

Fax

(425) 977-4881

NPI assigned

Mar 5, 2021

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1407441991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 NE 12TH ST APT C341",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074563",
            "telephone_number": "206-766-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 212TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267565",
            "telephone_number": "425-977-4880",
            "fax_number": "425-977-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBENA",
        "first_name": "AMANO",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60647271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Giles, RD
• Kristine Beth Girardi
• Mariam Adel Michael Tawfik Girgis, PHARMACIST
• Lisa Glickman, OTR/L
• Robin Laurel Goans
• Terri Goddard
• Jamila Marten Godfrey, ND
• Emily Gong
• Christopher Michael Gonzales, PHARMD
• Kimberly Marie Gonzales

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.