Kristin Nichole McCoy, PHARMACY INTERN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

60690596 Issued in WA

Practice address

111 SE Everett Mall Way Ste a-100
Everett, WA 98208-3208

Phone

(306) 839-8057

NPI assigned

Jun 26, 2018

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1710472295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 19TH ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901407",
            "telephone_number": "206-406-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE EVERETT MALL WAY STE A-100",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083208",
            "telephone_number": "306-839-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KRISTIN",
        "middle_name": "NICHOLE",
        "credential": "PHARMACY INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "60690596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chere Elizabeth McCormick, DO
• Susie McCormick
• Andrew T McCoy, DPT
• Audra R. McCoy, PHARMD
• Judy L McCoy, DC
• Nicholas Jefferey McCoy
• Teresa J McCoy, RNFA
• Katherine McCracken
• Cindra McCrann, RN
• Kati McCrary

• Student in an Organized Health Care Education/Training Program in Everett, WA
• Providers in Everett, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.