Active NPI
Tim Glennie
- Pharmacist
- Bothell, WA
National Provider Identifier
1922085703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00016785
- Practice address
- 22833 Bothell Everett Hwy
Bothell, WA 98021-9385 - Phone
- (425) 481-7810
- NPI assigned
- Dec 22, 2005
- 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 | PH00016785 | WA | Primary |
Addresses
Primary practice location
22833 Bothell Everett Hwy
Bothell, WA 98021-9385
Mailing address
3834 175TH Ave NE
#A107
Redmond, WA 98052-5829
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 |
|---|---|---|---|
| PH00016785 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922085703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3834 175TH AVE NE",
"address_2": "#A107",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22833 BOTHELL EVERETT HWY",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980219385",
"telephone_number": "425-481-7810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENNIE",
"first_name": "TIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00016785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.