Active NPI
Kassahun B Kassa
- Pharmacist
- Seattle, WA
National Provider Identifier
1508130337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60209182
- Practice address
- 12318 15TH Ave NE
Seattle, WA 98125-4820 - Phone
- (206) 306-0508
- NPI assigned
- Feb 24, 2012
- Last updated
- Feb 24, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60209182 | WA | Primary |
Addresses
Primary practice location
12318 15TH Ave NE
Seattle, WA 98125-4820
Mailing address
3022 NE 140TH St Apt 106
Seattle, WA 98125-3587
Phone (206) 588-1627
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60209182 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1508130337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 NE 140TH ST APT 106",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981253587",
"telephone_number": "206-588-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12318 15TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254820",
"telephone_number": "206-306-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSA",
"first_name": "KASSAHUN",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60209182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.