Organization Active NPI

Elim Pharmaceutical Consultants, LLC.

  • Health Service Clinic/Center
  • Bothell, WA
National Provider Identifier
1821385667
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
PH00045962 Issued in WA
Legal business name
ELIM PHARMACEUTICAL CONSULTANTS, LLC.
Practice address
16125 Juanita-Wood Way NE Unit 2214
Bothell, WA 98011-9444
Phone
(425) 908-7045
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Ms. Grace Gana, RPH, CGP
Title
Clinical Pharmacist Consultant
Phone
(425) 908-7045

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 602856613 WA
Health Service Clinic/Center 261QH0100X PH00045962 WA Primary

Addresses

Primary practice location

16125 Juanita-Wood Way NE Unit 2214
Bothell, WA 98011-9444

Mailing address

16125 Juanita-Wood Way NE Unit 2214
Bothell, WA 98011-9444
Phone (425) 908-7045

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1821385667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16125 JUANITA-WOOD WAY NE UNIT 2214",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980119444",
            "telephone_number": "425-908-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16125 JUANITA-WOOD WAY NE UNIT 2214",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980119444",
            "telephone_number": "425-908-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIM PHARMACEUTICAL CONSULTANTS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "GANA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST CONSULTANT",
        "authorized_official_telephone_number": "425-908-7045",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH, CGP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "602856613",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "PH00045962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.