Individual provider Active NPI

Daniel Trobare, PHARM.D.

  • Pharmacist
  • Bellevue, WA
National Provider Identifier
1740633965
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60666819 Issued in WA
Practice address
1121 124TH Ave NE
Bellevue, WA 98005-2101
Phone
(425) 455-6444
NPI assigned
Jul 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60666819 WA Primary

Addresses

Primary practice location

1121 124TH Ave NE
Bellevue, WA 98005-2101

Mailing address

2638 Cherry Ave
Apt B
Bremerton, WA 98310-4256
Phone (405) 503-8437

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH60666819WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1740633965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 CHERRY AVE",
            "address_2": "APT B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104256",
            "telephone_number": "405-503-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 124TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052101",
            "telephone_number": "425-455-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROBARE",
        "first_name": "DANIEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60666819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.