Active NPI
Shoshana Judith Bresko Blank, PHARMD, BCPS
- Pharmacotherapy Pharmacist
- Seattle, WA
National Provider Identifier
1538834536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH60212267
- Practice address
- 925 Seneca St
Seattle, WA 98101-2742 - Phone
- (206) 583-6011
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH60212267 | WA | Primary |
Addresses
Primary practice location
925 Seneca St
Seattle, WA 98101-2742
Mailing address
7916 NE 181St PL
Kenmore, WA 98028-4501
Phone (206) 341-0241
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 |
|---|---|---|---|
| PH60212267 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1538834536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7916 NE 181ST PL",
"city": "KENMORE",
"state": "WA",
"postal_code": "980284501",
"telephone_number": "206-341-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 SENECA ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012742",
"telephone_number": "206-583-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "SHOSHANA",
"middle_name": "JUDITH BRESKO",
"credential": "PHARMD, BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH60212267",
"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 Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.