Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ponciano F Bautista

Individual provider Clinic Pharmacy · NPI 1144859638

Ponciano F Bautista is a Clinic Pharmacy in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020
Specialties on file
8
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4002 49th Ave S
Seattle, WA 98118-1228
Phone: (206) 834-5647
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00017744 (WA)
Clinic Pharmacy Taxonomy 3336C0002X · Licence PH00017744 (WA)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PH00017744 (WA)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PH00017744 (WA)
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X · Licence PH00017744 (WA)
Institutional Pharmacy Taxonomy 3336I0012X · Licence PH00017744 (WA)
Long Term Care Pharmacy Taxonomy 3336L0003X · Licence PH00017744 (WA)
Mail Order Pharmacy Taxonomy 3336M0002X · Licence PH00017744 (WA)

Record details

NPI number1144859638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2020
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020

Other providers in Seattle