Individual provider Active NPI

Lydia Fazilat, PHRM.PH.70017919

  • Pharmacist
  • Kirkland, WA
National Provider Identifier
1891650826
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRM.PH.70017919 Issued in WA
Practice address
6343 135TH Ave NE
Kirkland, WA 98033-8614
Phone
(206) 485-5972
NPI assigned
Dec 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHRM.PH.70017919 WA Primary

Addresses

Primary practice location

6343 135TH Ave NE
Kirkland, WA 98033-8614

Mailing address

6343 135TH Ave NE
Kirkland, WA 98033-8614
Phone (206) 485-5972

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

LicenseStateTypeSpecialty
PHRM.PH.70017919WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1891650826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 135TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338614",
            "telephone_number": "206-485-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 135TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338614",
            "telephone_number": "206-485-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZILAT",
        "first_name": "LYDIA",
        "credential": "PHRM.PH.70017919",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PHRM.PH.70017919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.