Active NPI
Kevin James Flynn, PHARM.D., BCPS
- Pharmacist
- Seattle, WA
National Provider Identifier
1619352911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72521
- Practice address
- 325 9TH Ave # 359885
Seattle, WA 98104-2420 - Phone
- (206) 744-4359
- Fax
- (206) 744-5997
- NPI assigned
- Jul 28, 2015
- Last updated
- Dec 14, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14589 | NE | |
| Pharmacist | 183500000X | PH60643584 | WA | |
| Pharmacist | 183500000X | 72521 | CA | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | PH60643584 | WA |
Addresses
Primary practice location
325 9TH Ave # 359885
Seattle, WA 98104-2420
Mailing address
1660 S Columbian Way
Pharmacy and Nutritional Care
Seattle, WA 98108-1532
Phone (206) 764-2982
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 |
|---|---|---|---|
| 72521 | CA | MD | Clinical Social Worker |
| 14589 | NE | MD | Pharmacist |
| PH60643584 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1619352911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "PHARMACY AND NUTRITIONAL CARE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-764-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE # 359885",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-4359",
"fax_number": "206-744-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARM.D., BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14589",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60643584",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72521",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH60643584",
"primary": false
}
],
"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 Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.