Individual provider Active NPI

Kathryn R Grambo, RPH

  • Pharmacist
  • Renton, WA
National Provider Identifier
1770623845
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00043093 Issued in WA
Practice address
2921 Naches Ave SW
Renton, WA 98057-2617
Phone
(206) 630-2200
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00043093 WA Primary

Addresses

Primary practice location

2921 Naches Ave SW
Renton, WA 98057-2617

Mailing address

3810 S Star Lake Rd
Auburn, WA 98001-1322

Other names 1

  • Kathryn R Armstrong Former name

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
PH00043093WAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: karmstrong5704@ghc.direct-ci.net

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1770623845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 S STAR LAKE RD",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980011322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 NACHES AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572617",
            "telephone_number": "206-630-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMBO",
        "first_name": "KATHRYN",
        "middle_name": "R",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00043093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ARMSTRONG",
            "middle_name": "R",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.