NPIMap

Individual provider Active NPI

Bothaina Mousa

  • Pharmacist
  • Renton, WA
National Provider Identifier
1447629456
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60385563 Issued in WA
Practice address
947 Powell Ave SW Ste 100
Renton, WA 98057-2975
Phone
(425) 277-1311
NPI assigned
Sep 20, 2015
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 PH60385563 WA Primary

Addresses

Primary practice location

947 Powell Ave SW Ste 100
Renton, WA 98057-2975

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

605 S Coolidge St
Moses Lake, WA 98837
Phone (509) 765-0674

Other practice location 2

3840 Bridgeport Way W
University Place, WA 98466-4416
Phone (253) 564-2255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmousa28462@healthpoint.direct-ci.com

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

LicenseStateTypeSpecialty
PH60385563WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Moses Lake Community Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bmousa28462@healthpoint.direct-ci.com
  • Direct secure messaging: bothaina.mousa.p3@direct.hpc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1447629456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 POWELL AVE SW STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572975",
            "telephone_number": "425-277-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Coolidge St",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "98837",
            "country_code": "US",
            "telephone_number": "509-765-0674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3840 Bridgeport Way W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664416",
            "country_code": "US",
            "telephone_number": "253-564-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "BOTHAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-20",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60385563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmousa28462@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "947 Powell Ave SW Ste 100",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.