Individual provider Active NPI

Kanokwan Saiwongpanya

  • Pharmacist
  • Bellevue, WA
National Provider Identifier
1194442400
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60292535 Issued in WA
Practice address
1453 Bellevue Way NE Apt D
Bellevue, WA 98004-8212
Phone
(425) 329-5372
NPI assigned
Oct 26, 2022
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60292535 WA Primary

Addresses

Primary practice location

1453 Bellevue Way NE Apt D
Bellevue, WA 98004-8212

Mailing address

PO Box 463
Bellevue, WA 98009-0463
Phone (425) 329-5372

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mail.yahoo.com/d/folders/1 Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
60292535WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1194442400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090463",
            "telephone_number": "425-329-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 BELLEVUE WAY NE APT D",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048212",
            "telephone_number": "425-329-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIWONGPANYA",
        "first_name": "KANOKWAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60292535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.yahoo.com/d/folders/1",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1453 Bellevue Way NE Apt D",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980048212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.