Bahar Adamzadeh
Individual provider Active NPI Pharmacist · Spokane, WA
NPI 1861101503 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1861101503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- P10390 (ID)
- Practice address
- 2809 W Holyoke Ave
Spokane, WA 99208-4562 - Phone
- (650) 476-3089
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10390 | ID | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10390 | ID | Yes |
Addresses
Primary practice location
2809 W Holyoke Ave
Spokane, WA 99208-4562
Mailing address
4815 N Assembly St
Spokane, WA 99205-6185
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.