Active NPI
Susan C Kang, RPH
- Pharmacist
- Bellevue, WA
National Provider Identifier
1215915905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00016020
- Practice address
- 653 156TH Ave NE
Bellevue, WA 98007-4823 - Phone
- (425) 641-9127
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PH00016020 | WA | Primary |
Addresses
Primary practice location
653 156TH Ave NE
Bellevue, WA 98007-4823
Mailing address
15905 SE Cougar MTN Wy
Bellevue, WA 98006
Phone (425) 644-5264
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00016020 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215915905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15905 SE COUGAR MTN WY",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98006",
"telephone_number": "425-644-5264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 156TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980074823",
"telephone_number": "425-641-9127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "SUSAN",
"middle_name": "C",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00016020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.