Active NPI
Xuru Huang
- Pharmacist
- Duvall, WA
National Provider Identifier
1225511413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60857635
- Practice address
- 14020 Main St NE
Duvall, WA 98019-8457 - Phone
- (425) 844-1199
- Fax
- (425) 844-1850
- NPI assigned
- Sep 13, 2018
- Last updated
- Sep 13, 2018
- Sex
- Male
- 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 | PH60857635 | WA | Primary |
Addresses
Primary practice location
14020 Main St NE
Duvall, WA 98019-8457
Mailing address
1121 124TH Ave NE
Bellevue, WA 98005-2101
Phone (425) 201-6330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60857635 | Other | WA | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| PH60857635 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1225511413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 124TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052101",
"telephone_number": "425-201-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14020 MAIN ST NE",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198457",
"telephone_number": "425-844-1199",
"fax_number": "425-844-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "XURU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60857635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH60857635",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duvall, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.