Active NPI
Banchegize Lucy Ann Shelley
- Pharmacy Technician
- Freeland, WA
National Provider Identifier
1942014048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 15692349
- Practice address
- 1609 Main St Ste B
Freeland, WA 98249-9003 - Phone
- (360) 331-4700
- NPI assigned
- Feb 7, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 15692349 | WA | Primary |
Addresses
Primary practice location
1609 Main St Ste B
Freeland, WA 98249-9003
Mailing address
3984 Lambs Rest LN
Greenbank, WA 98253-9750
Phone (360) 914-8550
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 |
|---|---|---|---|
| 15692349 | WA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1942014048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3984 LAMBS REST LN",
"city": "GREENBANK",
"state": "WA",
"postal_code": "982539750",
"telephone_number": "360-914-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 MAIN ST STE B",
"city": "FREELAND",
"state": "WA",
"postal_code": "982499003",
"telephone_number": "360-331-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLEY",
"first_name": "BANCHEGIZE",
"middle_name": "LUCY ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "15692349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.