Active NPI
Noah Penner, PHARMD
- Pharmacist
- Everett, WA
National Provider Identifier
1497578827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61570007
- Practice address
- 5006 132ND St SE # 9517
Everett, WA 98208-9517 - Phone
- (425) 357-6129
- NPI assigned
- Nov 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61570007 | WA | Primary |
Addresses
Primary practice location
5006 132ND St SE # 9517
Everett, WA 98208-9517
Mailing address
5006 132ND St SE # 9517
Everett, WA 98208-9517
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 |
|---|---|---|---|
| PH61570007 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1497578827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 132ND ST SE # 9517",
"city": "EVERETT",
"state": "WA",
"postal_code": "982089517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5006 132ND ST SE # 9517",
"city": "EVERETT",
"state": "WA",
"postal_code": "982089517",
"telephone_number": "425-357-6129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNER",
"first_name": "NOAH",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61570007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.