Individual provider Active NPI

Gan Yern

  • Pharmacist
  • Federal Way, WA
National Provider Identifier
1215216221
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60231072 Issued in WA
Practice address
2201 S Commons
T1947
Federal Way, WA 98003-6023
Phone
(253) 733-7521
NPI assigned
Aug 8, 2011
Last updated
Aug 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60231072 WA Primary

Addresses

Primary practice location

2201 S Commons
T1947
Federal Way, WA 98003-6023

Mailing address

2201 S Commons
T1947
Federal Way, WA 98003-6023
Phone (253) 733-7521

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
PH60231072WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gan.yern.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: gyern21777@healthpoint.direct-ci.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1215216221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S COMMONS",
            "address_2": "T1947",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036023",
            "telephone_number": "253-733-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S COMMONS",
            "address_2": "T1947",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036023",
            "telephone_number": "253-733-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERN",
        "first_name": "GAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60231072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.