Active NPI
Andre Huang, PHARMD
- Pharmacist
- Seattle, WA
National Provider Identifier
1043829906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P8920
- Practice address
- 1200 12TH Ave S
Seattle, WA 98144-2712 - Phone
- (206) 326-2400
- NPI assigned
- Jul 27, 2020
- Sex
- Male
- 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 | PH61049973 | WA | |
| Pharmacist | 183500000X | P8920 | ID | Primary |
Addresses
Primary practice location
1200 12TH Ave S
Seattle, WA 98144-2712
Mailing address
5219 116TH PL SE
Bellevue, WA 98006-3319
Other practice location 1
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone (503) 220-8262 ext. 52456
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8920 | ID | MD | Pharmacist |
| PH61049973 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1043829906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 116TH PL SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980063319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 12TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442712",
"telephone_number": "206-326-2400"
}
],
"practiceLocations": [
{
"address_1": "3710 SW US Veterans Hospital Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392964",
"country_code": "US",
"telephone_number": "503-220-8262 x52456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUANG",
"first_name": "ANDRE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-27",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61049973",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.