Michael Alan Patin, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

19191 Issued in WA

Practice address

700 S. Main St.
Ellensburg, WA 98926

Phone

(509) 925-4232

Fax

(509) 925-6065

NPI assigned

Oct 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Mike Patin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1659605038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S SOUTH MAIN STREET",
            "address_2": "700 SOUTH MAIN STREET",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-925-4232",
            "fax_number": "509-925-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S. MAIN ST.",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-925-4232",
            "fax_number": "509-925-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "19191",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "000019191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "PATIN",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jack Glen Palo
• Carole T Parga, FNP
• Jennifer Anne Pariseau, MS, LMHC
• Annie Kay Park, ARNP FNP-C
• Kimberly M Parker, RN
• Katherine E Patry, DMD
• Tyler Patterson, ATC
• Janice M Paxton, PAC
• Patricia Peacock
• Miriam M Pease, RDH

• Pharmacist in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.