James Carlson
Individual provider Active NPI Pharmacist · Tukwila, WA
NPI 1962549592 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962549592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH00010951 (WA)
- Practice address
- 12400 E Marginal Way S
Tukwila, WA 98168-2559 - Phone
- (206) 901-4425
- Fax
- (206) 901-4410
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010951 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00010951 | WA | Yes |
Addresses
Primary practice location
12400 E Marginal Way S
Tukwila, WA 98168-2559
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.