Active NPI
William Edmond Fassett, BS PHARM, MBA, PHD
- Pharmacist
- Spokane, WA
National Provider Identifier
1548258114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00008093
- Practice address
- 310 N Riverpoint Blvd
Ste 210C
Spokane, WA 99202-1610 - Phone
- (509) 358-7666
- Fax
- (509) 358-7744
- NPI assigned
- Oct 7, 2005
- 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 | PH00008093 | WA | Primary |
Addresses
Primary practice location
310 N Riverpoint Blvd
Ste 210C
Spokane, WA 99202-1610
Mailing address
2403 W Carolina CT
Spokane, WA 99208-8690
Phone (509) 468-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHCT.PH.60125044 | Other | WA | WASHINGTON COLLABORATIVE PRACTICE AGREEMENT |
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
- Bachelor of Science, Master of Business Administration, Doctor of Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00008093 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1548258114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 W CAROLINA CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992088690",
"telephone_number": "509-468-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N RIVERPOINT BLVD",
"address_2": "STE 210C",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021610",
"telephone_number": "509-358-7666",
"fax_number": "509-358-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSETT",
"first_name": "WILLIAM",
"middle_name": "EDMOND",
"name_prefix": "Dr.",
"credential": "BS PHARM, MBA, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00008093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON COLLABORATIVE PRACTICE AGREEMENT",
"identifier": "PHCT.PH.60125044",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.