Individual provider Active NPI

Brittney Jean Enemark, PHARMD

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1669783742
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60155802 Issued in WA
Practice address
2324 Eastlake Ave E
Suite 400
Seattle, WA 98102-3345
Phone
(206) 838-4590
Fax
(206) 838-4599
NPI assigned
Jun 23, 2010
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 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 PH60155802 WA Primary

Addresses

Primary practice location

2324 Eastlake Ave E
Suite 400
Seattle, WA 98102-3345

Mailing address

PO Box 2031
Snoqualmie, WA 98065-2031
Phone (425) 888-6858

Other identifiers 1

IdentifierTypeStateIssuer
PH60155802OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address getit@thefallspharmay.com Nyberg Health Enterprises INC

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH60155802WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nyberg Health Enterprises Inc Current Accepting new patients
Nyberg Health Enterprises Inc CurrentSince Nov 1, 2020 Accepting new patients
Foster Health Enterprises Inc PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669783742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2031",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980652031",
            "telephone_number": "425-888-6858",
            "fax_number": "425-888-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 EASTLAKE AVE E",
            "address_2": "SUITE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023345",
            "telephone_number": "206-838-4590",
            "fax_number": "206-838-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENEMARK",
        "first_name": "BRITTNEY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60155802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "PH60155802",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "getit@thefallspharmay.com",
            "affiliation": "Y",
            "affiliationName": "Nyberg Health Enterprises INC",
            "address_1": "8112 RAILROAD AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.