Individual provider Active NPI

Karina Zhydovlenko, PHARMD

  • Pharmacist
  • Mountlake Terrace, WA
National Provider Identifier
1427938307
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61563316 Issued in WA
Practice address
24255 Van Ry Blvd Ste A2
Mountlake Terrace, WA 98043-5460
Phone
(425) 672-5800
Fax
(425) 672-5811
NPI assigned
Sep 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61563316 WA Primary

Addresses

Primary practice location

24255 Van Ry Blvd Ste A2
Mountlake Terrace, WA 98043-5460

Mailing address

14120 54TH Dr NE
Marysville, WA 98271-6600
Phone (425) 672-5800

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH61563316WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1427938307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 54TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982716600",
            "telephone_number": "425-672-5800",
            "fax_number": "425-672-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24255 VAN RY BLVD STE A2",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435460",
            "telephone_number": "425-672-5800",
            "fax_number": "425-672-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHYDOVLENKO",
        "first_name": "KARINA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61563316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.