Kathryn Bough, PHARMACY TECHNICIAN

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

VA61059522 Issued in WA

Practice address

12222 E Sprague Ave
Spokane Valley, WA 99206-5151

Phone

(509) 492-4922

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1659944064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 E 4TH AVE APT B208",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160683",
            "telephone_number": "208-964-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065151",
            "telephone_number": "509-492-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUGH",
        "first_name": "KATHRYN",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA61059522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Borgman, MSW, LICSW
• Anthony D Bosley Sr.
• Journey Bosley
• Sophia Bosse, RD, CD
• Aubrey Jean Bot
• Helaina Yvonne Stanyer Boulieris, O.D.
• George James Bourekis, DDS
• Brandon Boutain
• Omari Elizabeth Rose Boutain
• Dallon Bowen

• Pharmacy Technician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Pharmacy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.