Sally Marsolais Kallaway, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61318849 Issued in WA

Practice address

9797 Edmonds Way
Edmonds, WA 98020

Phone

(425) 672-0017

Fax

(425) 672-1019

NPI assigned

Dec 28, 2022

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #15404

  • Pharmacy
  • Edmonds, WA
  • NPI 1720419005
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1760195457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9797 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205939",
            "telephone_number": "425-672-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9797 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98020",
            "telephone_number": "425-672-0017",
            "fax_number": "425-672-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAWAY",
        "first_name": "SALLY",
        "middle_name": "MARSOLAIS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61318849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K's Optical LLC (K's Optical)
• K&K Industries LLC Dba the Workshop
• Kaiser Health Solutions PS (Helix Sport And Spine)
• Steven Kaiser, DC
• Kal Taylor Counseling PLLC
• Mia Kallio, LMP
• Linda M Kampp, M.D.
• Abbigail Dianna Kanouse-Schaefer
• Megan Yvonne Kao
• Diane Kaplan, ARNP, CS

• Pharmacist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.