Individual provider Active NPI

Scott Kevin Botchek, RPH

  • Pharmacist
  • Everett, WA
National Provider Identifier
1699368654
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00019578 Issued in WA
Practice address
405 SE Everett Mall Way
Everett, WA 98208-3243
Phone
(425) 353-7967
NPI assigned
Feb 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00019578 WA Primary

Addresses

Primary practice location

405 SE Everett Mall Way
Everett, WA 98208-3243

Mailing address

405 SE Everett Mall Way
Everett, WA 98208-3243
Phone (425) 353-7967

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH00019578WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1699368654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SE EVERETT MALL WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083243",
            "telephone_number": "425-353-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SE EVERETT MALL WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083243",
            "telephone_number": "425-353-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTCHEK",
        "first_name": "SCOTT",
        "middle_name": "KEVIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00019578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.