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

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 and National Provider Directory roles.

• Walgreen Co

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

  • 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&K Industries LLC Dba the Workshop
• Kaiser Health Solutions PS
• 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

• All providers in Edmonds, WA
• 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.