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Robert Brent Waters , RPH

Pharmacist - Pharmacotherapy β€’ Snohomish, WA

Active NPI 1619985736 Individual Practitioner Male Practitioner
Practice location in NPPES

1030 Avenue D Ste 2
Snohomish, WA 982902086

Call 3608633009 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1030 Avenue D Ste 2

Snohomish, WA 982902086

Telephone 3608633009
Fax 8443754097
Organization at the Same NPPES Address or Phone
Matrx Pharmacy, Llc Facility NPI 1700223526

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Snohomish and Washington

1 active clinicians are listed under Pharmacist - Pharmacotherapy with a practice address in Snohomish, WA (191 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist - Pharmacotherapy Primary Specialty

NUCC Taxonomy Code: 1835P1200X

License # reported to NPPES WA PH00011060

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
6010938 (WA)
Other Identifier L&i
003118 (WA)
Other Identifier Tax Id
91-1996749 (WA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1669566386

Registered Pharmacist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location November 29, 2017

Registered at 1030 AVENUE D STE 2, SNOHOMISH, WA 982902086 (Tel: 3608633009)

πŸ“
Updated Business Mailing Address November 29, 2017

Registered at 10330 MERIDIAN AVE N STE 180, SEATTLE, WA 981339496 (Tel: 2063686060)

πŸ‘€
Provider Name / Credentials Updated November 29, 2017

Recorded as ROBERT WATERS, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Pharmacist (license number reported to NPPES: WA PH00011060)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 10330 MERIDIAN AVE N STE 180, SEATTLE, WA 981339496 (Tel: 2063686060)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 10330 MERIDIAN AVE N STE 180, SEATTLE, WA 981339496 (Tel: 2063686060)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ROBERT WATERS, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: WA PH00011060)

🟒
Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619985736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: November 29, 2017
Sole Proprietor: No

Mailing Address

10330 Meridian Ave N Ste 180

Seattle, WA 981339496

Phone: 2063686060

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.