Active NPI
Renae Christine Hamilton Buchholtz, PHARMD
- Pharmacist
- Washougal, WA
National Provider Identifier
1790180271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 60214924
- Practice address
- 3650 Q St
Washougal, WA 98671-9056 - Phone
- (360) 241-4036
- NPI assigned
- Oct 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH 60214924 | WA | Primary |
| Pharmacist | 183500000X | RPH-0014102 | OR | |
| Pharmacist | 183500000X | 7734 | MT |
Addresses
Primary practice location
3650 Q St
Washougal, WA 98671-9056
Mailing address
3650 Q St
Washougal, WA 98671-9056
Phone (360) 241-4036
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7734 | MT | MD | Pharmacist |
| RPH-0014102 | OR | MD | Pharmacist |
| PH 60214924 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1790180271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 Q ST",
"city": "WASHOUGAL",
"state": "WA",
"postal_code": "986719056",
"telephone_number": "360-241-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 Q ST",
"city": "WASHOUGAL",
"state": "WA",
"postal_code": "986719056",
"telephone_number": "360-241-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON BUCHHOLTZ",
"first_name": "RENAE",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 60214924",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0014102",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "7734",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washougal, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.