Elvira P Geydarova

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

VA60996135 Issued in WA

Practice address

10407 SE 256TH St
Kent, WA 98030-6366

Phone

(253) 854-5343

NPI assigned

Apr 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Kent, WA
  • NPI 1578672887
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1982309266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27129 122ND PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305414",
            "telephone_number": "425-240-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 SE 256TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306366",
            "telephone_number": "253-854-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYDAROVA",
        "first_name": "ELVIRA",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA60996135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gerkin, LICSWA
• Matthew Gerstl
• Gesey Consulting Group,LLC
• Zebiba M Getahun, PHARMACY TECHNICIAN
• Emily Marie Gewax
• Annette Gibbs, RN
• Kim Gibson
• Tiffaney Gibson
• Ruth Gichana
• Desean Gildyard

• Pharmacy Technician in Kent, WA
• Providers in Kent, WA by specialty
• Pharmacy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.