Collin K Hennessey, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302023224 Issued in MI

Practice address

12400 E Marginal Way S
Group Health Pharmacy Admin
Tukwila, WA 98168-2559

Phone

(206) 901-4321

Fax

(206) 901-4410

NPI assigned

Oct 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1528247194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 E MARGINAL WAY S",
            "address_2": "GROUP HEALTH PHARMACY ADMIN",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981682559",
            "telephone_number": "206-901-4321",
            "fax_number": "206-901-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 E MARGINAL WAY S",
            "address_2": "GROUP HEALTH PHARMACY ADMIN",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981682559",
            "telephone_number": "206-901-4321",
            "fax_number": "206-901-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "COLLIN",
        "middle_name": "K",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302023224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Thomas Hemmer
• Sarah L Hendrich
• Verdell Melody Hendrickson, CDP
• Catelynn McKell Henion
• Linda Alice Henley, MA, CCC-SLP
• Coriander Kathryn Heridia, NP
• Adrianna Hernandez
• Elizabeth Hernandez
• Sebastian Hernandez
• Justin Herndon, LSWAIC

• Pharmacist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.