Active NPI
Lucian E Levine, CPHT
- Pharmacy Technician
- Bellevue, WA
National Provider Identifier
1881239812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- VA60663811
- Practice address
- 107 Bellevue Way SE
Bellevue, WA 98004-6229 - Phone
- (425) 454-1818
- Fax
- (425) 279-7983
- NPI assigned
- Nov 13, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | VA60663811 | WA | Primary |
Addresses
Primary practice location
107 Bellevue Way SE
Bellevue, WA 98004-6229
Mailing address
107 Bellevue Way SE
Bellevue, WA 98004-6229
Phone (425) 454-1818
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 |
|---|---|---|---|
| VA60663811 | WA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington CVS Pharmacy LLC | Past | Accepting new patients | |
| Washington CVS Pharmacy LLC | 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": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1881239812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 BELLEVUE WAY SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046229",
"telephone_number": "425-454-1818",
"fax_number": "425-279-7983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 BELLEVUE WAY SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046229",
"telephone_number": "425-454-1818",
"fax_number": "425-279-7983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "LUCIAN",
"middle_name": "E",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "VA60663811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.