Active NPI
Kevin Gebenus
- Pharmacist
- Bellingham, WA
National Provider Identifier
1447544804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00042290
- Practice address
- 4299 Guide Meridian
Bellingham, WA 98226-6475 - Phone
- (360) 738-7851
- Fax
- (360) 671-9572
- NPI assigned
- Jun 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00042290 | WA | Primary |
Addresses
Primary practice location
4299 Guide Meridian
Bellingham, WA 98226-6475
Mailing address
4299 Guide Meridian
Bellingham, WA 98226-6475
Phone (360) 738-7851
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00042290 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1447544804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4299 GUIDE MERIDIAN",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982266475",
"telephone_number": "360-738-7851",
"fax_number": "360-671-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4299 GUIDE MERIDIAN",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982266475",
"telephone_number": "360-738-7851",
"fax_number": "360-671-9572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBENUS",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00042290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.