Individual provider Active NPI

Michael Ayres Vanlaanen, PHARM.D

  • Pharmacist
  • Kirkland, WA
National Provider Identifier
1437588431
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60225981 Issued in WA
Practice address
12822 124TH LN NE
Kirkland, WA 98034-7612
Phone
(425) 814-9840
NPI assigned
Nov 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60225981 WA Primary

Addresses

Primary practice location

12822 124TH LN NE
Kirkland, WA 98034-7612

Mailing address

901 NE 43Rd St
#205
Seattle, WA 98105-6013
Phone (206) 375-3699

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
PH60225981WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1437588431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NE 43RD ST",
            "address_2": "#205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056013",
            "telephone_number": "206-375-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12822 124TH LN NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347612",
            "telephone_number": "425-814-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLAANEN",
        "first_name": "MICHAEL",
        "middle_name": "AYRES",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-11",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60225981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.