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Active NPI 1891402590 Individual Practitioner Male Practitioner

Connor Tristram Mcclellan , VA

Pharmacy Technician • Kenmore, WA

Professional Overview & Biography Verified Profile Summary

Connor Mcclellan, VA is a registered healthcare professional specializing in Pharmacy Technician in Kenmore, WA. Practice services are available at 18022 68TH AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18022 68th Ave Ne

Kenmore, WA 980282400

Telephone 4254242320
Associated Practice Facility / Clinic
🏢 Washington Cvs Pharmacy Llc Facility NPI 1821107145

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy Technician in Kenmore, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Kenmore, WA (604 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-01
Pharmacy Technician Primary Specialty

NUCC Taxonomy Code: 183700000X

State License WA 30175052

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Teresa Chu

Pharmacist

NPI 1124335989
NPI 1215244397

Registered Pharmacist

Hunter Gaynor

Behavior Technician

NPI 1407652902
Heather Watson

Pharmacy Technician

NPI 1730761776
Biwei Dong

Nurse Practitioner - Family

NPI 1902326614

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2022

Registered at 18022 68TH AVE NE, KENMORE, WA 980282400 (Tel: 4254242320)

📍
Updated Business Mailing Address November 02, 2022

Registered at 18022 68TH AVE NE, KENMORE, WA 980282400 (Tel: 4252219382)

👤
Provider Name / Credentials Updated November 02, 2022

Recorded as CONNOR MCCLELLAN, VA 30175052

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2022

Pharmacy Technician (License #30175052 in WA)

🟢
Initial NPI Registration & Enumeration November 02, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891402590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2022
Last Update: November 02, 2022
Sole Proprietor: Yes

Mailing Address

18022 68th Ave Ne

Kenmore, WA 980282400

Phone: 4252219382

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.