Active NPI
Shan Li
- Pharmacist
- Seattle, WA
National Provider Identifier
1275966657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03497200
- Practice address
- 1959 NE Pacific St
Box 356015
Seattle, WA 98195-0001 - Phone
- (206) 598-6062
- NPI assigned
- Aug 20, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60358303 | WA | |
| Pharmacist | 183500000X | RP446775 | PA | |
| Pharmacist | 183500000X | 28RI03497200 | NJ | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Box 356015
Seattle, WA 98195-0001
Mailing address
4522 Brooklyn Ave NE
Apt 302
Seattle, WA 98105-4526
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 |
|---|---|---|---|
| 28RI03497200 | NJ | MD | Pharmacist |
| RP446775 | PA | MD | Pharmacist |
| PH60358303 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1275966657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4522 BROOKLYN AVE NE",
"address_2": "APT 302",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 356015",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-598-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "SHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60358303",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP446775",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03497200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.