Phongsiri Sivasen Yee, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

A1-0003250 Issued in DE

Practice address

5005 Edgemont Ave
Brookhaven, PA 19015-1202

Phone

(610) 872-4346

Fax

(610) 872-4574

NPI assigned

Apr 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1306080288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 COPELAND SCHOOL ROAD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "198301828",
            "telephone_number": "610-872-4346",
            "fax_number": "610-872-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 EDGEMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190151202",
            "telephone_number": "610-872-4346",
            "fax_number": "610-872-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "PHONGSIRI",
        "middle_name": "SIVASEN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "RP045015R",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "RP045015R",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "A1-0003250",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Stuart Weinstein
• Catherine Anne West, D.M.D
• Sarah Jean Williams, BSL
• Thomas M Wisdo, RPH
• Suzanne Yanuski, MS, RPH
• Melissa Zimmerman, MSOTRL

• Pharmacist in Brookhaven, PA
• Providers in Brookhaven, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.