Individual provider Active NPI

Christopher Burgess

  • Pharmacy
  • Renton, WA
National Provider Identifier
1922656719
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
IR60690612 Issued in WA
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

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSI40233FLMDPharmacy
IR60690612WAMDPharmacy

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.

Verify at the official NPI Registry.