Individual provider Active NPI

Sean Gregory Burleson, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Tacoma, WA
National Provider Identifier
1467719625
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
60133346 Issued in WA
Practice address
6901 S 19TH St
Tacoma, WA 98466-5529
Phone
(253) 534-3033
Fax
(253) 534-3027
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60133346 WA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 60133346 WA Primary

Addresses

Primary practice location

6901 S 19TH St
Tacoma, WA 98466-5529

Mailing address

6901 S 19TH St
Tacoma, WA 98466-5529
Phone (253) 534-3033

Other practice location 1

1201 Valley Ave E
Sumner, WA 98390-3225
Phone (253) 826-8433

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

LicenseStateTypeSpecialty
60133346WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Meyer Stores Inc. PastSince Jan 26, 2020 Accepting new patients
Fred Meyer Stores Inc PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1467719625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984665529",
            "telephone_number": "253-534-3033",
            "fax_number": "253-534-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984665529",
            "telephone_number": "253-534-3033",
            "fax_number": "253-534-3027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Valley Ave E",
            "address_purpose": "LOCATION",
            "city": "Sumner",
            "state": "WA",
            "postal_code": "983903225",
            "country_code": "US",
            "telephone_number": "253-826-8433",
            "fax_number": "253-826-8427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "SEAN",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60133346",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "60133346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.