Active NPI
Amphorn Hosakul
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Seattle, WA
National Provider Identifier
1942551221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH00017630
- Practice address
- 1959 NE Pacific St
Box 356015
Seattle, WA 98195 - Phone
- (206) 598-6060
- Fax
- (206) 598-6058
- NPI assigned
- Sep 26, 2012
- Last updated
- Sep 26, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00017630 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Box 356015
Seattle, WA 98195
Mailing address
2029A Minor Ave E
Seattle, WA 98102-3513
Phone (206) 598-6058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00017630 | Other | WA | WASHIGNTON STATE PHARMACIST LICENSE |
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 |
|---|---|---|---|
| PH00017630 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1942551221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029A MINOR AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023513",
"telephone_number": "206-598-6058",
"fax_number": "206-598-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 356015",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195",
"telephone_number": "206-598-6060",
"fax_number": "206-598-6058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSAKUL",
"first_name": "AMPHORN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00017630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHIGNTON STATE PHARMACIST LICENSE",
"identifier": "PH00017630",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.