DR. CHRISTOPHER ELLIS KENNEDY (NPI# 1154539393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154539393 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER ELLIS KENNEDY |
| Credential | PHARM.D. |
| Practice Address |
802 134th St Sw Ste 140 Everett WA 98204-7314 |
| Mailing Address |
17623 Ne 15th Pl Bellevue WA 98008-3110 |
| Practice Telephone | 4258355833 |
| Mailing Telephone | 5096796588 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00019439 | WA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 W 8th Ave, Shmc - Pharmacy Dept., Spokane, WA 992042307 | 5094743244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730948 | Christopher John Kennedy | Respiratory Therapist, Certified | 6678 Springdale Dr, Cleveland, OH 44130-2600 | 2020-08-14 |
| 1467977793 | Christopher Kennedy | General Practice | 6002 S Highway 94, Weldon Spring, MO 63304-5679 | 2017-08-08 |
| 1982665303 | Christopher R Kennedy | Emergency Medicine | 4201 St Antoine St, Suite 3 R, Detroit, MI 48201-2153 | 2006-03-28 |
| 1255317640 | Christopher Andrew Kennedy | Physician Assistant | 300 Corporate Center Drive, Scott Depot, WV 25560 | 2005-12-19 |
| 1609497874 | Christopher L Kennedy | Emergency Medicine | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-04-29 |
| 1508349432 | Christopher Joseph Kennedy | Physical Therapy Assistant | 310 W Taft Ave, Sapulpa, OK 74066-5437 | 2018-09-06 |
| 1184158107 | Christopher Paul Kennedy | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-04-17 |
| 1922530807 | Christopher Ryan Kennedy | Nurse Anesthetist, Certified Registered | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2017-03-30 |
| 1598209991 | Christopher Kennedy | Nurse Practitioner | 4961 Roberts Rd, Hilliard, OH 43026-8129 | 2016-12-05 |
| 1437503885 | Christopher James Kennedy | Podiatrist | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2016-04-21 |
| Street Address |
802 134TH ST SW STE 140 |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-7314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700996345 | Costco Wholesale Corporation | Pharmacy | 802 134th St Sw Ste 140, Everett, WA 98204-7314 | 2006-08-30 |
| 1356957997 | Margery Marie Lillibridge | Pharmacist | 802 134th St Sw Ste 140, Everett, WA 98204-7314 | 2020-09-18 |
| 1568971596 | Costco Wholesale Corportation | Pharmacy | 802 134th St Sw Ste 140, Everett, WA 98204 | 2017-09-21 |
| 1629334610 | Cynthia Hudson | Pharmacist | 802 134th St Sw Ste 140, Everett, WA 98204-7314 | 2012-04-04 |
| 1952614059 | Thuy T Hudson | Pharmacist | 802 134th St Sw Ste 140, Everett, WA 98204-7314 | 2010-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211090 | Paul Vu | Pharmacist | 72 Winslow St, Everett, MA 02149-2112 | 2020-09-23 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1609438035 | Samuel Choi | Pharmacist | 4920a Evergreen Way, Everett, WA 98203-2827 | 2019-07-05 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1356855662 | Jonathan Phong Pham | Pharmacist | 10404 27th Dr Se, Everett, WA 98208-4465 | 2017-11-22 |
| 1497273528 | Mtm Clinical Care Rx | Pharmacist | 620 Se Everett Mall Way Ste 210b, Everett, WA 98208-3249 | 2017-09-09 |
| 1497278535 | Michael David Lawrence | Pharmacist | 1800 41st St Ste S-400, Everett, WA 98203-2355 | 2017-07-20 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1396292975 | Aisa Hodzic | Pharmacist | 11 Bellingham Ave, Everett, MA 02149-1218 | 2016-09-01 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.