Active NPI
Young Pak
- Pharmacist
- Milton, WA
National Provider Identifier
1003179524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60031148
- Practice address
- 2800 Milton Way Ste 10
Milton, WA 98354-9344 - Phone
- (253) 952-8436
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60031148 | WA | Primary |
Addresses
Primary practice location
2800 Milton Way Ste 10
Milton, WA 98354-9344
Mailing address
2800 Milton Way Ste 10
Milton, WA 98354-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60031148 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1003179524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MILTON WAY STE 10",
"city": "MILTON",
"state": "WA",
"postal_code": "983549344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MILTON WAY STE 10",
"city": "MILTON",
"state": "WA",
"postal_code": "983549344",
"telephone_number": "253-952-8436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "YOUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60031148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.