Jonathan David Phung, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60289427 Issued in WA

Practice address

947 Powell Ave SW Ste 100B
Renton, WA 98057-2975

Phone

(425) 277-1311

NPI assigned

Sep 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: jonathan.phung.p3@direct.hpc.nextgenshare.com

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1487904959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 POWELL AVE SW STE 100B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572975",
            "telephone_number": "425-277-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8825 34th Ave NE",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Tulalip",
            "state": "WA",
            "postal_code": "982718085",
            "country_code": "US",
            "telephone_number": "360-716-2660",
            "fax_number": "360-716-5795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60289427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jphung19631@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "947 Powell Ave SW Ste 100B",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980572975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Phillips, LMP
• Llewellyn Phillips II, M.D.
• Patricia L Phillips, LMP
• Anh Pho
• Phong N Bui, DDS, PLLC
• Bren Piamonte, PTA
• Dorothy Suzanne Pianko, FNP
• Tera A Pickard, PT
• Tatyana Mikhailovna Pidgorodetskaya, LMT
• Emily Louise Pieper, LMHC, SUDP, MHP

• Pharmacist in Renton, WA
• Providers in Renton, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.