Active NPI
Constance Crandall Wells, R.PH.
- Pharmacist
- Mountlake Terrace, WA
National Provider Identifier
1437137486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009797
- Practice address
- 22803 44TH Ave W
Mountlake Terrace, WA 98043-5032 - Phone
- (425) 771-3738
- NPI assigned
- Jan 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00009797 | WA | Primary |
| Pharmacist | 183500000X | 29433 | CA |
Addresses
Primary practice location
22803 44TH Ave W
Mountlake Terrace, WA 98043-5032
Mailing address
22803 44TH Ave W
Mountlake Terrace, WA 98043-5032
Phone (425) 771-3738
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 |
|---|---|---|---|
| 29433 | CA | MD | Marriage & Family Therapist |
| PH00009797 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1437137486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22803 44TH AVE W",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980435032",
"telephone_number": "425-771-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22803 44TH AVE W",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980435032",
"telephone_number": "425-771-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "CONSTANCE",
"middle_name": "CRANDALL",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009797",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "29433",
"primary": false
}
],
"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 Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.