Active NPI
Randa Raafat Riad Estawrow, PHARMACIST
- Pharmacy
- Sammamish, WA
National Provider Identifier
1629592589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH60755523
- Practice address
- 22626 NE Ingelwood Hill Rd Apt 322
Sammamish, WA 98074-5006 - Phone
- (714) 733-9380
- NPI assigned
- Aug 1, 2017
- Last updated
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH60755523 | WA | Primary |
Addresses
Primary practice location
22626 NE Ingelwood Hill Rd Apt 322
Sammamish, WA 98074-5006
Mailing address
22626 NE Ingelwood Hill Rd Apt 322
Sammamish, WA 98074-5006
Phone (714) 733-9380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ESTAWRR148L7 | Other | WA | WASHINGTON STATE |
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 |
|---|---|---|---|
| PH60755523 | WA | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1629592589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22626 NE INGELWOOD HILL RD APT 322",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980745006",
"telephone_number": "714-733-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22626 NE INGELWOOD HILL RD APT 322",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980745006",
"telephone_number": "714-733-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTAWROW",
"first_name": "RANDA",
"middle_name": "RAAFAT RIAD",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "PH60755523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE",
"identifier": "ESTAWRR148L7",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sammamish, WA
- Omnia Elsherbiny
- Sarah Michelle Emswiler Tanner, O.D.
- Laurie Marie Engelbeck, PH.D,, NCSP
- Ronald Dean Enyeart, P.T.
- Essence Health and Research Foundation (Essence Health & Research (EH&R))
- Joellen Estvold, MD
- Eyecare Partners, PLLC (Arbor Eyecare)
- Kais A Faddah, DC
- Victor L Fairchild
- Maria Faires, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.