Individual provider Active NPI

Marwa Homad, RPH

  • Pharmacist
  • Edmonds, WA
National Provider Identifier
1740911544
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61183973 Issued in WA
Practice address
7631 212TH St SW
Edmonds, WA 98026-7565
Phone
(425) 977-4880
Fax
(425) 977-4881
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61183973 WA Primary

Addresses

Primary practice location

7631 212TH St SW
Edmonds, WA 98026-7565

Mailing address

1513 147TH PL SW
Lynnwood, WA 98087-5971
Phone (425) 610-0177

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
PH61183973WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1740911544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 147TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980875971",
            "telephone_number": "425-610-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 212TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267565",
            "telephone_number": "425-977-4880",
            "fax_number": "425-977-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAD",
        "first_name": "MARWA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61183973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.