Individual provider Active NPI

Kritsana Pornputtichai, CPHT

  • Pharmacy Technician
  • Renton, WA
National Provider Identifier
1790938298
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
VA60042259 Issued in WA
Practice address
140 Hardie Ave SW Apt 6
Renton, WA 98057-5947
Phone
(206) 354-8591
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X VA60042259 WA Primary
Pharmacy Technician 183700000X 450101080953305 DC

Addresses

Primary practice location

140 Hardie Ave SW Apt 6
Renton, WA 98057-5947

Mailing address

140 Hardie Ave SW Apt 6
Renton, WA 98057-5947
Phone (206) 354-8591

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

State licenses

LicenseStateTypeSpecialty
450101080953305DCMDPharmacy Technician
VA60042259WAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1790938298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HARDIE AVE SW APT 6",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575947",
            "telephone_number": "206-354-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HARDIE AVE SW APT 6",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575947",
            "telephone_number": "206-354-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORNPUTTICHAI",
        "first_name": "KRITSANA",
        "name_prefix": "Ms.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA60042259",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "DC",
            "license": "450101080953305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 28, 2008; 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.