Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275047599 Individual Practitioner Male Practitioner

Simeon P Roth , RPH

Pharmacist • Sultan, WA

Professional Overview & Biography Verified Profile Summary

Simeon Roth, RPH is a registered healthcare professional specializing in Pharmacist in Sultan, WA. Practice services are available at 31111 US 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

31111 Us 2

Sultan, WA 982940090

Telephone 3609535250
Associated Practice Facility / Clinic
🏢 Ksr Health Care Llc Facility NPI 1093274458

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Sultan, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Sultan, WA (7956 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: 2022-03-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH60757022

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2132773 (WA)
Commercial Insurance / Payer ID Pharmacist License
PH60757022 (WA)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 31, 2022

Registered at 31111 US 2, SULTAN, WA 982940090 (Tel: 3609535250)

📍
Updated Business Mailing Address March 31, 2022

Registered at PO BOX 90, SULTAN, WA 982940090 (Tel: 3609535250)

NPI Profile Active November 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2017

Registered at 8547 AVONDALE ROAD NE, REDMOND, WA 98052 (Tel: 3607908750)

📍
Updated Business Mailing Address November 22, 2017

Registered at 8547 AVONDALE RD NE, REDMOND, WA 980523308 (Tel: 3607908750)

👤
Provider Name / Credentials Updated November 22, 2017

Recorded as SIMEON ROTH, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2017

Pharmacist (License #PH60757022 in WA)

🟢
Initial NPI Registration & Enumeration November 22, 2017

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: 1275047599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2017
Last Update: March 31, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 90

Sultan, WA 982940090

Phone: 3609535250

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.