Individual provider Active NPI

Sumyia Sultana

  • Pharmacist
  • Kent, WA
National Provider Identifier
1194491886
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61620199 Issued in WA
Practice address
20416 72ND Ave S
Kent, WA 98032-2319
Phone
(855) 745-5725
NPI assigned
Aug 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS62739 FL
Pharmacist 183500000X PH61620199 WA Primary

Addresses

Primary practice location

20416 72ND Ave S
Kent, WA 98032-2319

Mailing address

20416 72ND Ave S
Kent, WA 98032-2319

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
PS62739FLMDPharmacist
PH61620199WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pillpack LLC CurrentSince Mar 24, 2025 Accepting new patients
Publix Super Markets Inc PastSince Aug 1, 2021 Accepting new patients
Publix Super Markets Inc PastSince Aug 1, 2021 Accepting new patients
Pillpack LLC PastSince Mar 24, 2025 Accepting new patients
NPI 1649211145 PastSince Jan 1, 2024 Accepting new patients

Locations

20416 72nd Ave S
Kent, WA 98032
Phone (855) 206-3605

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1194491886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20416 72ND AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20416 72ND AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322319",
            "telephone_number": "855-745-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "SUMYIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS62739",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61620199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.