Active NPI
Elim Pharmaceutical Consultants, LLC.
- Health Service Clinic/Center
- Bothell, WA
National Provider Identifier
1821385667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- PH00045962
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.