Individual provider Active NPI

Brynna McIntyre

  • Pharmacy Technician
  • Everett, WA
National Provider Identifier
1588928311
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
VA60197839 Issued in WA
Practice address
5006 132ND St SE Ste a
Everett, WA 98208-9517
Phone
(425) 357-6162
Fax
(425) 357-6125
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X VA60197839 WA Primary

Addresses

Primary practice location

5006 132ND St SE Ste a
Everett, WA 98208-9517

Mailing address

5006 132ND St SE Ste a
Everett, WA 98208-9517
Phone (425) 357-6162

Other identifiers 1

IdentifierTypeStateIssuer
VA60197839OtherWAWA STATE DEPT OF HEALTH

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

State licenses

LicenseStateTypeSpecialty
VA60197839WAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington CVS Pharmacy LLC Past Accepting new patients
The Bartell Drug Co Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1588928311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 132ND ST SE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089517",
            "telephone_number": "425-357-6162",
            "fax_number": "425-357-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 132ND ST SE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089517",
            "telephone_number": "425-357-6162",
            "fax_number": "425-357-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "BRYNNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA60197839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPT OF HEALTH",
            "identifier": "VA60197839",
            "state": "WA"
        }
    ],
    "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 Jun 26, 2012; 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.