Individual provider Active NPI

Rachel Chantry Waite Krislock, PHARM.D.

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1881978765
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60228192 Issued in WA
Practice address
1100 9TH Ave Mail Stop H3-PL
Virginia Mason Medical Center
Seattle, WA 98111
Phone
(206) 223-6852
Fax
(206) 341-0867
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 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 PH60228192 WA Primary

Addresses

Primary practice location

1100 9TH Ave Mail Stop H3-PL
Virginia Mason Medical Center
Seattle, WA 98111

Mailing address

1100 9TH Ave
Mail Stop: H3-PL
Seattle, WA 98111
Phone (206) 223-6852

Other names 1

  • Dr. Rachel Chantry Waite 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
PH60228192WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1881978765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "MAIL STOP: H3-PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98111",
            "telephone_number": "206-223-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE MAIL STOP H3-PL",
            "address_2": "VIRGINIA MASON MEDICAL CENTER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98111",
            "telephone_number": "206-223-6852",
            "fax_number": "206-341-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISLOCK",
        "first_name": "RACHEL",
        "middle_name": "CHANTRY WAITE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60228192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WAITE",
            "middle_name": "CHANTRY",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.