Active NPI
Yuan Gao
- Pharmacist
- Lynnwood, WA
National Provider Identifier
1427358241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00043979
- Practice address
- 19715 Highway 99
Lynnwood, WA 98036-6039 - Phone
- (425) 778-4862
- Fax
- (425) 640-2842
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- 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 | 00043979 | WA | Primary |
Addresses
Primary practice location
19715 Highway 99
Lynnwood, WA 98036-6039
Mailing address
19715 Highway 99
Lynnwood, WA 98036-6039
Phone (425) 778-4862
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 |
|---|---|---|---|
| 00043979 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1427358241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19715 HIGHWAY 99",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366039",
"telephone_number": "425-778-4862",
"fax_number": "425-640-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19715 HIGHWAY 99",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366039",
"telephone_number": "425-778-4862",
"fax_number": "425-640-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "YUAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "00043979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.