Individual provider Active NPI

Steve J Mischke, R.PH.

  • Pharmacist
  • Bellevue, WA
National Provider Identifier
1992132534
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60374137 Issued in WA
Practice address
1121 124TH Ave NE
Bellevue, WA 98005-2101
Phone
(425) 455-6444
NPI assigned
Sep 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60374137 WA Primary

Addresses

Primary practice location

1121 124TH Ave NE
Bellevue, WA 98005-2101

Mailing address

1225 183Rd St SE
C305
Bothell, WA 98012-7495
Phone (360) 547-2964

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

LicenseStateTypeSpecialty
PH60374137WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1992132534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 183RD ST SE",
            "address_2": "C305",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127495",
            "telephone_number": "360-547-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 124TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052101",
            "telephone_number": "425-455-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHKE",
        "first_name": "STEVE",
        "middle_name": "J",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60374137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.