Active NPI
Stewart Umbela, PHARMD
- Pharmacist
- Bainbridge Island, WA
National Provider Identifier
1891343125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60875559
- Practice address
- 1315 Wintergreen LN NE
Bainbridge Island, WA 98110-5118 - Phone
- (206) 317-8521
- NPI assigned
- Aug 29, 2019
- Last updated
- Aug 29, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60875559 | WA | Primary |
Addresses
Primary practice location
1315 Wintergreen LN NE
Bainbridge Island, WA 98110-5118
Mailing address
1315 Wintergreen LN NE
Bainbridge Island, WA 98110-5118
Phone (206) 317-8521
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Walgreens | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60875559 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1315 Wintergreen Ln NE
Bainbridge Island, WA 98110
Phone (206) 317-8521
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1891343125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 WINTERGREEN LN NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981105118",
"telephone_number": "206-317-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 WINTERGREEN LN NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981105118",
"telephone_number": "206-317-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMBELA",
"first_name": "STEWART",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60875559",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Walgreens",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Walgreens",
"address_1": "1315 Wintergreen Ln NE",
"city": "Bainbridge Island",
"state": "WA",
"country_code": "US",
"postal_code": "981105118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.