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Timothy Bultman, PHARMD

NPI 1588395420ActiveIndividual· Pharmacist· Bothell, WA

Pharmacist (PHARMD) in Bothell, Washington, licensed in WA, with an NPI issued in June 2022. Part D covered 100 prescriptions written in 2024, 0% of them generic.

Overview

NPI1588395420
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedJun 21, 2022
Last updated in NPPESJun 21, 2022
Certified by providerJun 17, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XIR60976097WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)100 · 100 30-day fills
Patients92
Total drug cost$17,898
Generic share0% of claims

Medicare sources and data years

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