Active NPI
Sara Chung, PHARMD, MS
- Pharmacist
- Renton, WA
National Provider Identifier
1316407646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60284152
- Practice address
- 2921 Naches Ave SW
Renton, WA 98057-2617 - Phone
- (206) 630-1043
- NPI assigned
- Mar 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60284152 | WA | Primary |
Addresses
Primary practice location
2921 Naches Ave SW
Renton, WA 98057-2617
Mailing address
8708 14TH Ave NW
Seattle, WA 98117-3432
Phone (360) 910-5986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60284152 | Other | WA | PHARMACIST LICENSE |
Other names 1
- Sara Forrester
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
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60284152 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1316407646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8708 14TH AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981173432",
"telephone_number": "360-910-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 NACHES AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572617",
"telephone_number": "206-630-1043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "SARA",
"credential": "PHARMD, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60284152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH60284152",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "FORRESTER",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.