Active NPI
Julie Ann Mann, RPH
- Pharmacist
- Eatonville, WA
National Provider Identifier
1720429590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00017061
- Practice address
- 104 Mashell Ave N
Eatonville, WA 98328-8936 - Phone
- (360) 832-4700
- Fax
- (360) 832-4520
- NPI assigned
- Jul 9, 2013
- Last updated
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | PH00017061 | WA | Primary |
Addresses
Primary practice location
104 Mashell Ave N
Eatonville, WA 98328-8936
Mailing address
33716 Thomas Rd E
PO Box 1276
Eatonville, WA 98328-8948
Phone (360) 879-5222
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH00017061 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirks Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Eatonville, WA
- NPI 1700991759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1720429590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33716 THOMAS RD E",
"address_2": "PO BOX 1276",
"city": "EATONVILLE",
"state": "WA",
"postal_code": "983288948",
"telephone_number": "360-879-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MASHELL AVE N",
"city": "EATONVILLE",
"state": "WA",
"postal_code": "983288936",
"telephone_number": "360-832-4700",
"fax_number": "360-832-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00017061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatonville, WA
- Kirks Pharmacy Inc
- Annette Lachapelle, LMP
- Shanna Pearl Littrell, LMP
- Gloria Vaneaton Lowe, MD
- Richard Hugh Mackey Jr., PHARM D
- Mashell Chiropractic Clinic, Inc. (Dale E. Clark, D.C., P.S.)
- Monroe Workforce Solutions LLC
- Mountain Physical Therapy and Sports Rehabilitation LLC
- Lanai Lea Munson
- Mystic Mountain Midwifery, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.