Active NPI
Sombo M Vorng
- Pharmacist
- Burien, WA
National Provider Identifier
1376669176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00016009
- Practice address
- 110 SW 148TH St
Burien, WA 98166-1924 - Phone
- (206) 835-0166
- NPI assigned
- Mar 22, 2007
- 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 | PH00016009 | WA | Primary |
Addresses
Primary practice location
110 SW 148TH St
Burien, WA 98166-1924
Mailing address
5217 California Ave SW
Seattle, WA 98136-1209
Other practice location 1
947 Powell Ave SW Ste 100
Renton, WA 98057-2975
Phone (425) 277-1311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | svorng21791@healthpoint.direct-ci.com |
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 |
|---|---|---|---|
| PH00016009 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Interoperability endpoints
- sombo.vorng.p3@direct.hpc.nextgenshare.com
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 and National Provider Directory roles.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1376669176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SW 148TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661924",
"telephone_number": "206-835-0166"
}
],
"practiceLocations": [
{
"address_1": "947 Powell Ave SW Ste 100",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980572975",
"country_code": "US",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VORNG",
"first_name": "SOMBO",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00016009",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "svorng21791@healthpoint.direct-ci.com",
"affiliation": "N",
"address_1": "947 Powell Ave SW Ste 100",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980572975",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.