Active NPI
Cory Michael Kantorowicz, PHARMD
- Pharmacist
- Kent, WA
National Provider Identifier
1497030712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 60244426
- Practice address
- 403 E Meeker St Ste 300
Kent, WA 98030-5904 - Phone
- (877) 233-0246
- Fax
- (253) 372-3663
- NPI assigned
- Oct 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0012781 | OR | |
| Pharmacist | 183500000X | PH 60244426 | WA | Primary |
Addresses
Primary practice location
403 E Meeker St Ste 300
Kent, WA 98030-5904
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Other practice location 1
1303 NW Lovejoy St
Portland, OR 97209-2785
Phone (503) 205-6751
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com |
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 |
|---|---|---|---|
| RPH-0012781 | OR | MD | Pharmacist |
| PH 60244426 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1497030712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E MEEKER ST STE 300",
"city": "KENT",
"state": "WA",
"postal_code": "980305904",
"telephone_number": "877-233-0246",
"fax_number": "253-372-3663"
}
],
"practiceLocations": [
{
"address_1": "1303 NW Lovejoy St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972092785",
"country_code": "US",
"telephone_number": "503-205-6751",
"fax_number": "503-205-6750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANTOROWICZ",
"first_name": "CORY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-18",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0012781",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 60244426",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com",
"affiliation": "N",
"address_1": "403 E Meeker St Ste 300",
"city": "Kent",
"state": "WA",
"country_code": "US",
"postal_code": "980305904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.