Active NPI
Rustamkhan A Pathan
- Pharmacist
- Redmond, WA
National Provider Identifier
1639860554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHWH.FX.61325532
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PHWH.FX.61325532 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliance Inc | Current | 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.
-
- Pharmacy
- Redmond, WA
- NPI 1215629621
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.