Active NPI
Audra R. McCoy, PHARMD
- Pharmacist
- Everett, WA
National Provider Identifier
1528359361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 60189658
- Practice address
- 2000 W Marine View Dr
Everett, WA 98207-0001 - Phone
- (425) 304-4141
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | P6102 | ID | |
| Pharmacist | 183500000X | PH 60189658 | WA | Primary |
Addresses
Primary practice location
2000 W Marine View Dr
Everett, WA 98207-0001
Mailing address
2000 W Marine View Dr
Everett, WA 98207-0001
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 |
|---|---|---|---|
| P6102 | ID | MD | Pharmacist |
| PH 60189658 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1528359361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 W MARINE VIEW DR",
"city": "EVERETT",
"state": "WA",
"postal_code": "982070001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W MARINE VIEW DR",
"city": "EVERETT",
"state": "WA",
"postal_code": "982070001",
"telephone_number": "425-304-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "AUDRA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6102",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 60189658",
"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 May 15, 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.