Individual provider Active NPI

Kjelene Clair Manning, PHARMD

  • Pharmacist
  • Bellingham, WA
National Provider Identifier
1851708028
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH 00065841 Issued in WA
Practice address
218 Unity St
Bellingham, WA 98225-4420
Phone
(360) 752-7406
Fax
(360) 312-5238
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH 00065841 WA Primary

Addresses

Primary practice location

218 Unity St
Bellingham, WA 98225-4420

Mailing address

218 Unity St
Bellingham, WA 98225-4420
Phone (360) 752-7406

Other names 1

  • Dr. Kjelene Clair Martin Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH 00065841WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Care Northwest Past Accepting new patients
Unity Care Northwest Past Accepting new patients

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1851708028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 UNITY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254420",
            "telephone_number": "360-752-7406",
            "fax_number": "360-312-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 UNITY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254420",
            "telephone_number": "360-752-7406",
            "fax_number": "360-312-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "KJELENE",
        "middle_name": "CLAIR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 00065841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KJELENE",
            "last_name": "MARTIN",
            "middle_name": "CLAIR",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.