Individual provider Active NPI

Christine Kiyomi Gibo, RPH

  • Pharmacist
  • Tukwila, WA
National Provider Identifier
1477939528
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00016438 Issued in WA
Practice address
3333 S 120TH PL
Suite 100
Tukwila, WA 98168-5134
Phone
(425) 687-4426
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00016438 WA Primary

Addresses

Primary practice location

3333 S 120TH PL
Suite 100
Tukwila, WA 98168-5134

Mailing address

3333 S 120TH PL
Suite 100
Tukwila, WA 98168-5134
Phone (425) 687-4426

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
PH00016438WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1477939528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S 120TH PL",
            "address_2": "SUITE 100",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685134",
            "telephone_number": "425-687-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S 120TH PL",
            "address_2": "SUITE 100",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685134",
            "telephone_number": "425-687-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBO",
        "first_name": "CHRISTINE",
        "middle_name": "KIYOMI",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00016438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.