IndividualActive
Gavan Petracco
NPI 1336418904 · Pharmacist · Seattle, WA
Gavan Petracco is a Pharmacist provider in Seattle, WA (NPI 1336418904).
Provider details
- NPI number
- 1336418904
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PH60039074 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
222 Pike St
Walgreens Pharmacy
Seattle, WA 98101-2108
Phone: (724) 903-8392
Fax: (206) 903-8432
Street-level locationGet directions
Mailing address
222 Pike St
Seattle, WA 98101-2108
Registry dates
- Enumerated
- 2011-12-27
- Last updated
- 2011-12-27
Frequently asked questions
- What is Gavan Petracco's NPI number?
- Gavan Petracco's National Provider Identifier (NPI) is 1336418904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gavan Petracco's specialty?
- Gavan Petracco is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Gavan Petracco located?
- Gavan Petracco's practice location on file with NPPES is 222 Pike St, Seattle, WA 98101-2108.
- What is Gavan Petracco's phone number?
- The practice phone number listed in the NPPES registry for Gavan Petracco is (724) 903-8392.
- Is Gavan Petracco's NPI active?
- Yes — Gavan Petracco's NPI (1336418904) is active in the NPPES registry as of the last update on 2011-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.