Active NPI
Krishna Shah, RPH
- Pharmacist
- Mill Creek, WA
National Provider Identifier
1962749176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60302255
- Practice address
- 3202 132ND St SE
Mill Creek
Mill Creek, WA 98012-5624 - Phone
- (773) 677-4436
- NPI assigned
- Jan 8, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60302255 | WA | Primary |
Addresses
Primary practice location
3202 132ND St SE
Mill Creek
Mill Creek, WA 98012-5624
Mailing address
3202 132ND Street, S.E.
Mill Creek
Mill Creek, WA 98012
Phone (773) 677-4436
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60302255 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1962749176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 132ND STREET, S.E.",
"address_2": "MILL CREEK",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "773-677-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 132ND ST SE",
"address_2": "MILL CREEK",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980125624",
"telephone_number": "773-677-4436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KRISHNA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60302255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.