Paktia Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

60512097 Issued in WA

Legal business name

PAKTIA PHARMACY LLC

Practice address

315 5TH Ave S Unit #C
Edmonds, WA 98020

Phone

(425) 967-5375

Fax

(425) 967-3415

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Rashid Jamali, PH60008825NPI 1316163520

Title

Pharmacist

Phone

(425) 409-7309

Specialties & licenses 1

Addresses

Other names 1

• paktia pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rashid Jamali, PHARM.D

  • Pharmacist
  • Lynnwood, WA
  • NPI 1316163520
  NPD Authorized official

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1922496553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 5TH AVE S UNIT C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203600",
            "telephone_number": "425-967-5375",
            "fax_number": "425-967-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE S UNIT #C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98020",
            "telephone_number": "425-967-5375",
            "fax_number": "425-967-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKTIA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "JAMALI",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "425-409-7309",
        "authorized_official_credential": "PH60008825"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "60512097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "paktia pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.