Unknown Individual – Pharmacist, NPI 1083743108

Unknown Individual is a healthcare provider. based in Eatonville, Washington. specializing in Pharmacist. They hold a License No. PH00010248 (WA). The NPI Number for Unknown Individual is 1083743108

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083743108
Phone
(253) 847-8728
Address
31218 WEBSTER RD E
Deactivation Date
15 June 2021
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

Provider Addresses for Unknown Individual

  • 31218 WEBSTER RD E

    EATONVILLE, WA 983288674

    Phone: (253) 847-8728

    Type: Mailing

  • 909 E YELM AVE

    YELM, WA 985979425

    Phone: (360) 458-9011

    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 98328)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1083743108.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Pharmacist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Eatonville, Washington in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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