Active NPI
Philip Gordon Dunbar, RPH PHD
- Pharmacist
- Medical Lake, WA
National Provider Identifier
1689736498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010525
- Practice address
- S 2320 Salnave Rd
Medical Lake, WA 99022 - Phone
- (509) 299-1930
- Fax
- (509) 299-1967
- NPI assigned
- Dec 15, 2006
- 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 | PH00010525 | WA | Primary |
Addresses
Primary practice location
S 2320 Salnave Rd
Medical Lake, WA 99022
Mailing address
13224 S Clear Lake Rd
Medical Lake, WA 99022-9322
Phone (509) 299-1930
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010525 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689736498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13224 S CLEAR LAKE RD",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990229322",
"telephone_number": "509-299-1930",
"fax_number": "509-299-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S 2320 SALNAVE RD",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "99022",
"telephone_number": "509-299-1930",
"fax_number": "509-299-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNBAR",
"first_name": "PHILIP",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "RPH PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medical Lake, WA
- Department of Social Dept of SHS Div of Instns (Eastern State Hospital)
- Wendy Cargile Dickerson
- Lori D Dixon, R.N.
- Cassandra J Dubbels
- Cindy Lynn Dudley, ARNP
- Dutton Veterinary Medicine PLLC (Medical Lake Veterinary Clinic)
- Amber Nichole Dvorak, L.M.P.
- Patricia Lynn Dykstra, ARNP
- Eastern State Hospital Pharmacy
- Educational Support Services (Medical Lake School District)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.