Active NPI
Max Hutton Oberholtzer, CPHT
- Pharmacy Technician
- Seattle, WA
National Provider Identifier
1942885199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- VA61037652
- Practice address
- 4750 21St Ave NE Apt 104
Seattle, WA 98105-6635 - Phone
- (206) 673-1884
- NPI assigned
- Mar 9, 2021
- Sex
- Male
- 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 | VA61037652 | WA | Primary |
Addresses
Primary practice location
4750 21St Ave NE Apt 104
Seattle, WA 98105-6635
Mailing address
4750 21St Ave NE Apt 104
Seattle, WA 98105-6635
Phone (206) 673-1884
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 |
|---|---|---|---|
| VA61037652 | WA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1942885199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 21ST AVE NE APT 104",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056635",
"telephone_number": "206-673-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 21ST AVE NE APT 104",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056635",
"telephone_number": "206-673-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERHOLTZER",
"first_name": "MAX",
"middle_name": "HUTTON",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-09",
"last_updated": "2022-06-09",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "VA61037652",
"primary": true
}
],
"identifiers": [],
"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 Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.