Individual provider Active NPI

Justin D Ausmeier, PHARMACIST

  • Pharmacist
  • Bainbridge Island, WA
National Provider Identifier
1477864627
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH 60105943 Issued in WA
Practice address
301 High School Rd NE
Bainbridge Island, WA 98110-1608
Phone
(206) 842-4065
Fax
(206) 780-2781
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH 60105943 WA Primary

Addresses

Primary practice location

301 High School Rd NE
Bainbridge Island, WA 98110-1608

Mailing address

9430 NE Day Rd
Bainbridge Island, WA 98110-3302
Phone (206) 842-4065

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
PH 60105943WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1477864627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 NE DAY RD",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103302",
            "telephone_number": "206-842-4065",
            "fax_number": "206-780-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGH SCHOOL RD NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101608",
            "telephone_number": "206-842-4065",
            "fax_number": "206-780-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSMEIER",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 60105943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.