Unknown Individual – Pharmacist, NPI 1083690242

Unknown Individual is a healthcare provider. based in Bellevue, Washington. specializing in Pharmacist. They hold a License No. PH00010294 (WA). The NPI Number for Unknown Individual is 1083690242

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083690242
Phone
(425) 867-0276
Address
2619 131ST PL NE
Deactivation Date
14 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2619, 131st Place Northeast, Cherry Crest, Bellevue, King County, Washington, 98005, United States

    BELLEVUE, WA 980051712

    Phone: (425) 867-0276

    Type: Mailing

  • Totem Lake Family Medicine, 11800, Northeast 128th Street, Kirkland, King County, Washington, 98034, United States

    STE 150

    KIRKLAND, WA 98034

    Phone: (425) 899-2808

    Fax: (425) 899-2809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98005)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1083690242.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pharmacist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Bellevue, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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