Individual provider Active NPI

Nathan Mikes, PHARM D.

  • Pharmacist
  • Silverdale, WA
National Provider Identifier
1801130810
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60311407 Issued in WA
Practice address
10000 Mickelberry Rd NW
Silverdale, WA 98383-8302
Phone
(360) 308-2116
Fax
(360) 308-2125
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60311407 WA
Pharmacist 183500000X 60311407 WA Primary

Addresses

Primary practice location

10000 Mickelberry Rd NW
Silverdale, WA 98383-8302

Mailing address

10000 Mickelberry Rd NW
Silverdale, WA 98383-8302
Phone (360) 308-2116

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
60311407WAMDPharmacist
PH60311407WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1801130810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 MICKELBERRY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838302",
            "telephone_number": "360-308-2116",
            "fax_number": "360-308-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 MICKELBERRY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838302",
            "telephone_number": "360-308-2116",
            "fax_number": "360-308-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKES",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60311407",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60311407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.