Individual provider Active NPI

Lwam Dori Ekubazgi, PHARMACIST

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1720694144
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61058596 Issued in WA
Practice address
5900 37TH Ave S Apt H42
Seattle, WA 98118-6234
Phone
(206) 383-0506
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61058596 WA Primary

Addresses

Primary practice location

5900 37TH Ave S Apt H42
Seattle, WA 98118-6234

Mailing address

5900 37TH Ave S Apt H42
Seattle, WA 98118-6234
Phone (206) 383-0506

Other names 1

  • Luwan Dori Ekubazgi Former name

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

State licenses

LicenseStateTypeSpecialty
PH61058596WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1720694144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 37TH AVE S APT H42",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981186234",
            "telephone_number": "206-383-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 37TH AVE S APT H42",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981186234",
            "telephone_number": "206-383-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKUBAZGI",
        "first_name": "LWAM",
        "middle_name": "DORI",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61058596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUWAN",
            "last_name": "EKUBAZGI",
            "middle_name": "DORI",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.