Individual provider Active NPI

Judith Renae Milligan

  • Pharmacist
  • Kirkland, WA
National Provider Identifier
1942762331
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00011253 Issued in WA
Practice address
12303 NE 130TH LN Ste 210
Kirkland, WA 98034-3060
Phone
(425) 899-2790
Fax
(425) 899-2795
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00011253 WA Primary

Addresses

Primary practice location

12303 NE 130TH LN Ste 210
Kirkland, WA 98034-3060

Mailing address

12303 NE 130TH LN Ste 210
Kirkland, WA 98034-3060
Phone (425) 899-2790

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
PH00011253WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 of King County Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1942762331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343060",
            "telephone_number": "425-899-2790",
            "fax_number": "425-899-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343060",
            "telephone_number": "425-899-2790",
            "fax_number": "425-899-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "JUDITH",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00011253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.