Individual provider Active NPI

Michael Lin

  • Pharmacist
  • Bellevue, WA
National Provider Identifier
1396287850
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60972542 Issued in WA
Practice address
653 156TH Ave NE
Bellevue, WA 98007-4823
Phone
(425) 641-9127
NPI assigned
Nov 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IR60598332 WA
Pharmacist 183500000X PH60972542 WA Primary

Addresses

Primary practice location

653 156TH Ave NE
Bellevue, WA 98007-4823

Mailing address

653 156TH Ave NE
Bellevue, WA 98007-4823
Phone (425) 647-9127

Other practice location 1

4025 Delridge Way SW Ste 400
Seattle, WA 98106-1273
Phone (425) 749-2686

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

LicenseStateTypeSpecialty
PH60972542WAMDPharmacist
IR60598332WAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1396287850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074823",
            "telephone_number": "425-647-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074823",
            "telephone_number": "425-641-9127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 Delridge Way SW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981061273",
            "country_code": "US",
            "telephone_number": "425-749-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "IR60598332",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60972542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.