Keith Gilman Fongemie in Federal Way - Pharmacist
Keith Gilman Fongemie - NPI 1629149448
Keith Gilman Fongemie is a Pharmacist in Federal Way, Washington. Keith Gilman Fongemie practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Keith Gilman Fongemie is 1629149448. The last update date is 2014-04-30.
Keith Gilman Fongemie's current location address is 36503 2nd Ave Sw, Federal Way, Washington. You can contact this provider via phone number 2064592019. The mailing address for Keith Gilman Fongemie is 36503 2nd Ave Sw, Federal Way, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Gilman Fongemie |
|---|---|
| Address | 36503 2nd Ave Sw, Federal Way, Washington |
| Phone Number | 2064592019 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1629149448 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2014-04-30 |
Provider Mailing Address Detail
| Address | 36503 2nd Ave Sw |
|---|---|
| City | Federal Way |
| State | Washington (WA) |
| Post Code | 980237376 |
| Phone Number | 2064592019 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PH00055424 |
|
Definition: 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 m |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PH00055424 | WA | PHARMACIST LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keith Gilman Fongemie?
The Keith Gilman Fongemie has been issued the NPI (National Provider Identifier) 1629149448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Keith Gilman Fongemie's physical address?
The Keith Gilman Fongemie is physically located at 36503 2Nd Ave Sw, in the city of Federal Way, WA, with the postal code 980237376.
What is Keith Gilman Fongemie's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keith Gilman Fongemie is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Keith Gilman Fongemie receive the assignment of its 1629149448 from the Centers for Medicare & Medicaid Services?
The Keith Gilman Fongemie was issued its 1629149448 by the Centers for Medicare & Medicaid Services on 2006-11-13.
As of what date were the Keith Gilman Fongemie's details last updated?
The information pertaining to the Keith Gilman Fongemie, including its address, specialty, and other details, was most recently updated on 2014-04-30.