DR. GAVAN PETRACCO
NPI 1336418904
Pharmacist in Seattle, WA

Active since December 27, 2011
222 PIKE ST, WALGREENS PHARMACY, SEATTLE, WA 98101(724) 903-8392(206) 903-8432 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gavan Petracco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAVAN PETRACCO (NPI 1336418904) is an individual pharmacist in Seattle, Washington, licensed in Washington (PH60039074) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1336418904
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. GAVAN PETRACCO
Location Address222 PIKE ST, WALGREENS PHARMACYSeattle, WA 98101-2108
Mailing Address222 Pike St, Walgreens PharmacySeattle, WA 98101-2108 · (724) 903-8392 · Fax (206) 903-8432
Fax(206) 903-8432
Sole ProprietorYes
Enumeration DateDecember 27, 2011
NPI 1336418904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WA · PH60039074
Definition
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.
222 PIKE ST, Seattle, WA 98101

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
222 PIKE ST
SEATTLE, WA 98101
Pharmacist
222 PIKE ST
SEATTLE, WA 98101
Pharmacist
222 PIKE ST
SEATTLE, WA 98101
Pharmacist
222 PIKE ST
SEATTLE, WA 98101
Pharmacist
222 PIKE ST
SEATTLE, WA 98101
Pharmacist
222 PIKE ST
SEATTLE, WA 98101
Pharmacist
222 PIKE ST
SEATTLE, WA 98101
Pharmacist
222 PIKE ST
SEATTLE, WA 98101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gavan Petracco's NPI number?

The NPI number for Gavan Petracco is 1336418904. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Where is Gavan Petracco located?

Gavan Petracco practices at 222 Pike St Walgreens Pharmacy, Seattle, WA 98101. The listed phone number is (724) 903-8392.

What is Gavan Petracco's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Gavan Petracco was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.