Active NPI
Anh Pho
- Pharmacist
- Renton, WA
National Provider Identifier
1033596705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60455836
- Practice address
- 10712 SE Carr Rd
Renton, WA 98055-5826 - Phone
- (425) 277-1040
- NPI assigned
- May 1, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60455836 | WA | Primary |
| Pharmacist | 183500000X | 70154 | CA |
Addresses
Primary practice location
10712 SE Carr Rd
Renton, WA 98055-5826
Mailing address
15264 NE 11TH St
Apt. P131
Bellevue, WA 98007-4643
Phone (425) 999-0543
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 |
|---|---|---|---|
| PH60455836 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1033596705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15264 NE 11TH ST",
"address_2": "APT. P131",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980074643",
"telephone_number": "425-999-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10712 SE CARR RD",
"city": "RENTON",
"state": "WA",
"postal_code": "980555826",
"telephone_number": "425-277-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHO",
"first_name": "ANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-01",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60455836",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.