Active NPI
Gordon D Kirkland, RPH
- Pharmacist
- Neah Bay, WA
National Provider Identifier
1528465382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010996
- Practice address
- 250 Fort St
Neah Bay, WA 98357-0410 - Phone
- (360) 645-2233
- Fax
- (360) 645-3241
- NPI assigned
- Nov 21, 2014
- 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 | PH00010996 | WA | Primary |
Addresses
Primary practice location
250 Fort St
Neah Bay, WA 98357-0410
Mailing address
1002 S Perry St
Kennewick, WA 99338-2136
Phone (509) 438-0648
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010996 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1528465382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 S PERRY ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993382136",
"telephone_number": "509-438-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FORT ST",
"city": "NEAH BAY",
"state": "WA",
"postal_code": "983570410",
"telephone_number": "360-645-2233",
"fax_number": "360-645-3241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKLAND",
"first_name": "GORDON",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neah Bay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.