Individual provider Active NPI

Tom Paul Syring, RPH

  • Pharmacist
  • Lynnwood, WA
National Provider Identifier
1720351810
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00009248 Issued in WA
Practice address
4615 196TH St SW
Lynnwood, WA 98036-5561
Phone
(425) 670-0233
Fax
(425) 670-0242
NPI assigned
Feb 20, 2012
Last updated
Feb 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00009248 WA Primary

Addresses

Primary practice location

4615 196TH St SW
Lynnwood, WA 98036-5561

Mailing address

4615 196TH St SW
Lynnwood, WA 98036-5561
Phone (425) 670-0233

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
PH00009248WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1720351810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365561",
            "telephone_number": "425-670-0233",
            "fax_number": "425-670-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365561",
            "telephone_number": "425-670-0233",
            "fax_number": "425-670-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRING",
        "first_name": "TOM",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00009248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.