Ottersens Pharmeceutical Services

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHAR.CF.00002361 Issued in WA

Legal business name

OTTERSENS PHARMECEUTICAL SERVICES

Practice address

13023 Greenwood Ave N
Seattle, WA 98133-7308

Phone

(206) 365-4048

Fax

(206) 365-4096

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Sonya Kousoum, PHARMDNPI 1316253248

Title

Pharmacist Manager

Phone

(206) 365-4048

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• OTTERSENS PHARMACEUTICAL SVCS Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonya Kousoum, PHARMD

  • Pharmacist
  • Seattle, WA
  • NPI 1316253248
  NPD Authorized official
• Kristin Gauthier, PHARMD

  • Pharmacist
  • Seattle, WA
  • NPI 1215296934
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1477500080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33026",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981330026",
            "telephone_number": "206-365-4048",
            "fax_number": "206-365-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337308",
            "telephone_number": "206-365-4048",
            "fax_number": "206-365-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTERSENS PHARMECEUTICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "KOUSOUM",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "206-365-4048",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.00002361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007348",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OTTERSENS PHARMACEUTICAL SVCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan M Ott
• Susan J Ottemiller, ARNP, DNP
• Catherine Ellyn Otten, MD
• Ada Otter, DNP, ARNP
• Daniel Otter
• Shane E Ottmann, MD
• Catherine M Otto
• Lilian Nyaribo Otwori
• Ou Clinic TR
• Chausu Ou, MD

• Long Term Care Pharmacy in Seattle, WA
• Providers in Seattle, WA by specialty
• Long Term Care Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.