Active NPI
Lisa Georgiu, PHARM.D.
- Pharmacist
- Bellevue, WA
National Provider Identifier
1639754393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61083460
- Practice address
- 1750 112TH Ave NE Ste A101
Bellevue, WA 98004-3782 - Phone
- (425) 688-5460
- NPI assigned
- Mar 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61083460 | WA | Primary |
Addresses
Primary practice location
1750 112TH Ave NE Ste A101
Bellevue, WA 98004-3782
Mailing address
9309 196TH St SE
Snohomish, WA 98296-7952
Phone (425) 346-6411
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 |
|---|---|---|---|
| PH61083460 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1639754393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9309 196TH ST SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982967952",
"telephone_number": "425-346-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 112TH AVE NE STE A101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043782",
"telephone_number": "425-688-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGIU",
"first_name": "LISA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61083460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.