Individual provider Active NPI

Sowmya Yabaluri, RPH

  • Pharmacist
  • Woodinville, WA
National Provider Identifier
1760702344
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00067966 Issued in WA
Practice address
14035 NE Woodinville Duvall Rd
Rite Aid 5205
Woodinville, WA 98072-8504
Phone
(425) 485-6468
Fax
(425) 481-1902
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00067966 WA Primary
Pharmacist 183500000X 3340 NH
Pharmacist 183500000X 16826 MD

Addresses

Primary practice location

14035 NE Woodinville Duvall Rd
Rite Aid 5205
Woodinville, WA 98072-8504

Mailing address

14035 NE Woodinville Duvall Rd
Rite Aid 5205
Woodinville, WA 98072-8504
Phone (425) 485-6468

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
16826MDMDPharmacist
PH00067966WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1760702344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14035 NE WOODINVILLE DUVALL RD",
            "address_2": "RITE AID 5205",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728504",
            "telephone_number": "425-485-6468",
            "fax_number": "425-481-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14035 NE WOODINVILLE DUVALL RD",
            "address_2": "RITE AID 5205",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728504",
            "telephone_number": "425-485-6468",
            "fax_number": "425-481-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABALURI",
        "first_name": "SOWMYA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00067966",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3340",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.