Individual provider Active NPI

Khendra Lortie

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Ellensburg, WA
National Provider Identifier
1821608464
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
IR60862435 Issued in WA
Practice address
201 S Water St
Ellensburg, WA 98926-3675
Phone
(509) 962-0533
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X IR60862435 WA Primary

Addresses

Primary practice location

201 S Water St
Ellensburg, WA 98926-3675

Mailing address

2401 N Landon LN
Ellensburg, WA 98926-5915
Phone (206) 816-2916

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
IR60862435WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Meyer Stores Inc CurrentSince Apr 27, 2025 Accepting new patients
Fred Meyer Stores Inc. PastSince Aug 9, 2020 Accepting new patients

Locations

201 S Water St
Ellensburg, WA 98926
Phone (509) 962-0533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1821608464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N LANDON LN",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989265915",
            "telephone_number": "206-816-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S WATER ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263675",
            "telephone_number": "509-962-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORTIE",
        "first_name": "KHENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "IR60862435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.