Active NPI
Naon Shin
- Pharmacist
- Spokane, WA
National Provider Identifier
1467719948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IR 60229833
- Practice address
- 3010 E 57TH Ave
Spokane, WA 99223-7011 - Phone
- (509) 443-6403
- NPI assigned
- Apr 20, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IR 60229833 | WA | Primary |
| Pharmacist | 183500000X | E18357 | ID | |
| Pharmacist | 183500000X | INT 29273 | CA |
Addresses
Primary practice location
3010 E 57TH Ave
Spokane, WA 99223-7011
Mailing address
3010 E 57TH Ave
Spokane, WA 99223-7011
Phone (509) 443-6403
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 |
|---|---|---|---|
| INT 29273 | CA | MD | Pharmacist |
| E18357 | ID | MD | Pharmacist |
| IR 60229833 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1467719948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 E 57TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237011",
"telephone_number": "509-443-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 E 57TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237011",
"telephone_number": "509-443-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "NAON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR 60229833",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "E18357",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "INT 29273",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.