Active NPI
Brigham R Consoliver, RPH
- Pharmacist
- Port Angeles, WA
National Provider Identifier
1922355072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PPH00017274
- Practice address
- 424 E 2ND St
Port Angeles, WA 98362-3119 - Phone
- (360) 452-4200
- Fax
- (360) 457-6557
- NPI assigned
- Aug 8, 2012
- 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 | PPH00017274 | WA | Primary |
Addresses
Primary practice location
424 E 2ND St
Port Angeles, WA 98362-3119
Mailing address
123 Mary Jo LN
Sequim, WA 98382-6973
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPH00017274 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1922355072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MARY JO LN",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983826973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 E 2ND ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623119",
"telephone_number": "360-452-4200",
"fax_number": "360-457-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSOLIVER",
"first_name": "BRIGHAM",
"middle_name": "R",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PPH00017274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.