Active NPI
Sumin Li, PH.D., B.PHARM
- Pharmacist
- Mercer Island, WA
National Provider Identifier
1407174352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60092404
- Practice address
- 3023 78TH Ave SE
Mercer Island, WA 98040-2822 - Phone
- (206) 236-0776
- NPI assigned
- May 16, 2010
- Sex
- Male
- 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 | PH60092404 | WA | Primary |
Addresses
Primary practice location
3023 78TH Ave SE
Mercer Island, WA 98040-2822
Mailing address
9062 E Shorewood Dr Apt 159
Mercer Island, WA 98040-3294
Phone (201) 887-5002
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60092404 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273968000000",
"number": "1407174352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9062 E SHOREWOOD DR APT 159",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980403294",
"telephone_number": "201-887-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 78TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980402822",
"telephone_number": "206-236-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "SUMIN",
"credential": "PH.D., B.PHARM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-16",
"last_updated": "2010-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60092404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.