Individual provider Active NPI

Rustamkhan A Pathan

  • Pharmacist
  • Redmond, WA
National Provider Identifier
1639860554
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHWH.FX.61325532 Issued in WA
Practice address
7981 168TH Ave NE Ste 216
Redmond, WA 98052-0911
Phone
(425) 961-8696
NPI assigned
May 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHWH.FX.61325532 WA Primary

Addresses

Primary practice location

7981 168TH Ave NE Ste 216
Redmond, WA 98052-0911

Mailing address

7981 168TH Ave NE Ste 216
Redmond, WA 98052-0911
Phone (425) 961-8696

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@rxreliance.com Direct

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

LicenseStateTypeSpecialty
PHWH.FX.61325532WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Inc CurrentSince May 28, 2023 Accepting new patients

Locations

7981 168th Ave NE
Ste 216
Redmond, WA 98052
Phone (425) 961-8696

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1639860554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE STE 216",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980520911",
            "telephone_number": "425-961-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 168TH AVE NE STE 216",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980520911",
            "telephone_number": "425-961-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAN",
        "first_name": "RUSTAMKHAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PHWH.FX.61325532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@rxreliance.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7981 168th Ave NE Ste 216",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980520911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.