Active NPI
Kanokwan Saiwongpanya
- Pharmacist
- Bellevue, WA
National Provider Identifier
1194442400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60292535
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 60292535 | WA | MD | Pharmacist |
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.