Active NPI
Debra Denise Redman, RPH
- Pharmacist
- Everett, WA
National Provider Identifier
1831523372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00018079
- Practice address
- 11020 19TH Ave SE
Everett, WA 98208-5155 - Phone
- (425) 337-7197
- NPI assigned
- Aug 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00018079 | WA | Primary |
Addresses
Primary practice location
11020 19TH Ave SE
Everett, WA 98208-5155
Mailing address
6520 152ND St SE
Snohomish, WA 98296-4205
Phone (425) 337-1731
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00018079 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377907200000",
"number": "1831523372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 152ND ST SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982964205",
"telephone_number": "425-337-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11020 19TH AVE SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085155",
"telephone_number": "425-337-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMAN",
"first_name": "DEBRA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-31",
"last_updated": "2013-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00018079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.