Individual provider Active NPI

Megan Jane Kilcup, PHARMD

  • Pharmacist
  • Tukwila, WA
National Provider Identifier
1760614515
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60080206 Issued in WA
Practice address
12400 E Marginal Way S
Tukwila, WA 98168-2559
Phone
(206) 901-4948
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60080206 WA Primary

Addresses

Primary practice location

12400 E Marginal Way S
Tukwila, WA 98168-2559

Mailing address

12400 E Marginal Way S
Tukwila, WA 98168-2559
Phone (206) 901-4566

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
PH60080206WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1760614515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 E MARGINAL WAY S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981682559",
            "telephone_number": "206-901-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 E MARGINAL WAY S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981682559",
            "telephone_number": "206-901-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCUP",
        "first_name": "MEGAN",
        "middle_name": "JANE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60080206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.