Active NPI
John Condos
- Pharmacist
- Spokane, WA
National Provider Identifier
1912207416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00017821
- Practice address
- 10100 N Newport Hwy
Spokane, WA 99218-1369 - Phone
- (509) 465-3676
- NPI assigned
- Oct 30, 2010
- 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 | PH00017821 | WA | Primary |
Addresses
Primary practice location
10100 N Newport Hwy
Spokane, WA 99218-1369
Mailing address
1211 N Murray LN
Liberty Lake, WA 99019-7555
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 |
|---|---|---|---|
| PH00017821 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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": "1288396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288396800000",
"number": "1912207416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N MURRAY LN",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 N NEWPORT HWY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181369",
"telephone_number": "509-465-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDOS",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-30",
"last_updated": "2010-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00017821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.