Active NPI
Larry William Oliver, PHARM.D.
- Pharmacist
- Tukwila, WA
National Provider Identifier
1609896984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00013746
- Practice address
- 3333 S 120TH PL
Ste 100
Tukwila, WA 98168-5134 - Phone
- (425) 687-4571
- NPI assigned
- Jul 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00013746 | WA | Primary |
| Pharmacist | 183500000X | 150393-1701 | UT |
Addresses
Primary practice location
3333 S 120TH PL
Ste 100
Tukwila, WA 98168-5134
Mailing address
3333 S 120TH PL
Ste 100
Tukwila, WA 98168-5134
Phone (425) 687-4571
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 |
|---|---|---|---|
| 150393-1701 | UT | MD | Pharmacist |
| PH00013746 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Infusion Therapy Pharmacy
- Tukwila, WA
- NPI 1285687749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1609896984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 S 120TH PL",
"address_2": "STE 100",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981685134",
"telephone_number": "425-687-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 S 120TH PL",
"address_2": "STE 100",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981685134",
"telephone_number": "425-687-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "LARRY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00013746",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "150393-1701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.