Active NPI
Christopher Burgess
- Pharmacy
- Renton, WA
National Provider Identifier
1922656719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- IR60690612
- Practice address
- 2715 Naches Ave SW
Renton, WA 98057-2627 - Phone
- (206) 630-7910
- NPI assigned
- Aug 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PSI40233 | FL | |
| Pharmacy | 333600000X | IR60690612 | WA | Primary |
Addresses
Primary practice location
2715 Naches Ave SW
Renton, WA 98057-2627
Mailing address
2603 Boylston Ave E Apt 1
Seattle, WA 98102-3236
Phone (407) 832-0903
Other practice location 1
222 Pike St
Seattle, WA 98101-2108
Phone (206) 903-8392
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 |
|---|---|---|---|
| PSI40233 | FL | MD | Pharmacy |
| IR60690612 | WA | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1922656719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 BOYLSTON AVE E APT 1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023236",
"telephone_number": "407-832-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 NACHES AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572627",
"telephone_number": "206-630-7910"
}
],
"practiceLocations": [
{
"address_1": "222 Pike St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981012108",
"country_code": "US",
"telephone_number": "206-903-8392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PSI40233",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "IR60690612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.