Unknown Individual – Pharmacist, NPI 1356314090

Unknown Individual is a healthcare provider. based in Pullman, Washington. specializing in Pharmacist. They hold a License No. PH00009957 (WA). The NPI Number for Unknown Individual is 1356314090

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356314090
Phone
Not provided
Address
PO BOX 642302
Deactivation Date
30 October 2025
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

  • Jack in the Box, 150, Northeast Stadium Way, Pullman, Whitman County, Washington, 99163, United States

    PULLMAN, WA 991642302

    Phone:

    Type: Mailing

  • Pullman Avenue, Saint Paul Park, Washington County, Minnesota, 55071, United States

    WASHINGTON STATE UNIVERSITY

    PULLMAN, WA 991640001

    Phone: (509) 335-3575

    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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 99164)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1356314090.
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.
Where is Unknown Individual based?
Unknown Individual is tied to Pullman, Washington in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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