Active NPI
Amber Bemis
- Pharmacist
- Bothell, WA
National Provider Identifier
1841590551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00019078
- Practice address
- 20711 Bothell Everett Hwy
Bothell, WA 98012-7139 - Phone
- (425) 486-4473
- Fax
- (425) 485-0725
- NPI assigned
- Oct 27, 2010
- 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 | PH00019078 | WA | Primary |
Addresses
Primary practice location
20711 Bothell Everett Hwy
Bothell, WA 98012-7139
Mailing address
2923 168TH Ave SE
Bellevue, WA 98008-5639
Phone (425) 486-4473
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH00019078 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1841590551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2923 168TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980085639",
"telephone_number": "425-486-4473",
"fax_number": "425-485-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20711 BOTHELL EVERETT HWY",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980127139",
"telephone_number": "425-486-4473",
"fax_number": "425-485-0725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEMIS",
"first_name": "AMBER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00019078",
"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 Aug 1, 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.