Active NPI
Susana Nakkour, PHARMD
- Pharmacist
- Issaquah, WA
National Provider Identifier
1447724810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60764214
- Practice address
- 999 Lake Dr
Issaquah, WA 98027-8990 - Phone
- (425) 416-2600
- NPI assigned
- Jan 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60764214 | WA | Primary |
Addresses
Primary practice location
999 Lake Dr
Issaquah, WA 98027-8990
Mailing address
845 Lake Dr
Issaquah, WA 98027-8115
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60764214 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1447724810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 LAKE DR",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 LAKE DR",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278990",
"telephone_number": "425-416-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKKOUR",
"first_name": "SUSANA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2021-02-16",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60764214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.