Active NPI
Max Parker
- Pharmacist
- Centralia, WA
National Provider Identifier
1609527258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61182338
- Practice address
- 1200 Harrison Ave
Centralia, WA 98531-1853 - Phone
- (360) 807-2014
- NPI assigned
- Jan 14, 2022
- Last updated
- Aug 8, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61182338 | WA | Primary |
| Pharmacist | 183500000X | RP00009670 | NM |
Addresses
Primary practice location
1200 Harrison Ave
Centralia, WA 98531-1853
Mailing address
500 Eubank Blvd SE
Albuquerque, NM 87123-3338
Phone (619) 820-7156
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP00009670 | NM | MD | Pharmacist |
| PH61182338 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1609527258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 EUBANK BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871233338",
"telephone_number": "619-820-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HARRISON AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985311853",
"telephone_number": "360-807-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MAX",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61182338",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00009670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.