Individual provider Active NPI

James Daniel Mensik

  • Pharmacist
  • Arlington, WA
National Provider Identifier
1649526328
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH70392 Issued in WA
Practice address
20500 Olympic PL NE
Arlington, WA 98223-5094
Phone
(360) 403-3378
Fax
(360) 403-8846
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH70392 WA Primary

Addresses

Primary practice location

20500 Olympic PL NE
Arlington, WA 98223-5094

Mailing address

20500 Olympic PL NE
Arlington, WA 98223-5094
Phone (360) 403-3378

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
PH70392WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Clinical Pharmacy Past Accepting new patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients
Tulalip Clinical Pharmacy Past Accepting new patients

Organizations & group practices 4

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1649526328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20500 OLYMPIC PL NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982235094",
            "telephone_number": "360-403-3378",
            "fax_number": "360-403-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20500 OLYMPIC PL NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982235094",
            "telephone_number": "360-403-3378",
            "fax_number": "360-403-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSIK",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH70392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.