Ponciano F Bautista

Address: 4002 49th Ave S, Seattle, WA 98118-1228
Phone: 2068345647

Ponciano F Bautista (NPI# 1144859638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1144859638
Entity Type Individual
Full Name Ponciano F Bautista
Gender Male
Practice Address 4002 49th Ave S
WA 98118-1228
Practice Telephone 2068345647
Mailing Address 4002 49th Ave S
WA 98118-1228
Mailing Telephone 2068345647
Mailing Fax Number 2063239206
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-06
Last Update Date 2020-04-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 183500000X Pharmacist Pharmacy Service Providers PH00017744 WA
No 3336C0002X Pharmacy · Clinic Pharmacy Suppliers PH00017744 WA
No 3336C0003X Pharmacy · Community/Retail Pharmacy Suppliers PH00017744 WA
No 3336H0001X Pharmacy · Home Infusion Therapy Pharmacy Suppliers PH00017744 WA
No 3336I0012X Pharmacy · Institutional Pharmacy Suppliers PH00017744 WA
No 3336L0003X Pharmacy · Long Term Care Pharmacy Suppliers PH00017744 WA
No 3336M0002X Pharmacy · Mail Order Pharmacy Suppliers PH00017744 WA
No 3336C0004X Pharmacy · Compounding Pharmacy Suppliers PH00017744 WA

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy 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 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]

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1033747498 Brittany Dawn Bassett Pharmacist 1956 Ne Pacific St, Seattle, WA 98195-0001 2020-03-31
1699313353 Eunyoung Kim Pharmacist 925 Seneca Street, H3-pi, Seattle, WA 98101 2019-12-12
1851937809 Tianrui Wang Pharmacist 1959 Nepacific Street, Seattle, WA 98195-0001 2019-11-25
1619519493 Charles Aljon Corpuz Agabin Pharmacist 1448 Nw Market Street, Suite 100, Seattle, WA 98107 2019-10-12
1184273526 Marita Nel Pharmacist 8500 Sand Point Way Ne, Seattle, WA 98115-3950 2019-09-09
1023667607 Max Son Pharmacist 4528 44th Ave Sw, Seattle, WA 98116-4908 2019-09-06
1881248243 Ana Karina Ramirez Pharmacist 6058 35th Ave Sw Unit 217, Seattle, WA 98126-3472 2019-07-24
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Office Location

Street Address 4002 49TH AVE S
State WA
Zip Code 98118-1228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102812 Psjh Pllc Pharmacy 3828 S Graham St Unit B, Seattle, WA 98118 2019-03-04
1912463670 Hillman City Medical Pllc Family Medicine 3828 S Graham St Suite A, Seattle, WA 98118 2019-02-18
1992287650 Valentina Komarova Massage Therapist 4321 S Webster St Unit D, Seattle, WA 98118 2018-08-29
1497258313 Kelsey Bates Behavior Technician 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 2018-03-16
1346775327 Anya Lisha Andre Student in an Organized Health Care Education/Training Program 9245 Rainier Avenue South, Seattle, WA 98118 2017-04-27
1710334552 Emeka Titus Okoye Durable Medical Equipment & Medical Supplies 4529 S. Henderson Street, #7, Seattle, WA 98118 2016-05-23
1104202191 Elizabeth Kittay Acupuncturist 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 2015-08-03
1194129601 Heather Vargas-lyon Massage Therapist 8338 Wolcott Ave S, Seattle, WA 98118 2014-10-13
1487069878 Tamikia Jones Massage Therapist 9260 57th Ave S, Seattle, WA 98118 2014-06-25
1023432663 Marie Nicole Hausauer Massage Therapist 4900 Rainer Ave S., Suite 102, Seattle, WA 98118 2014-02-18
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Zip Code 98118

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Dataset Information

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.

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