Provider Demographics
NPI:1801609268
Name:KIBUI, JOYCE WANGUI (PHARMD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:WANGUI
Last Name:KIBUI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35810 16TH AVE S APT F202
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-3501
Mailing Address - Country:US
Mailing Address - Phone:206-653-6544
Mailing Address - Fax:
Practice Address - Street 1:1409 11TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3901
Practice Address - Country:US
Practice Address - Phone:206-324-2335
Practice Address - Fax:206-324-2274
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61608176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist