Active NPI
Duc Mai
- Pharmacist
- Monroe, WA
National Provider Identifier
1558735605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IR 60473508
- Practice address
- 19200 N Kelsey St
Monroe, WA 98272-1431 - Phone
- (360) 794-5555
- Fax
- (360) 805-4797
- NPI assigned
- Nov 30, 2015
- 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 | IR 60473508 | WA | Primary |
Addresses
Primary practice location
19200 N Kelsey St
Monroe, WA 98272-1431
Mailing address
19200 N Kelsey St
Monroe, WA 98272-1431
Phone (360) 794-5555
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 |
|---|---|---|---|
| IR 60473508 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1558735605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19200 N KELSEY ST",
"city": "MONROE",
"state": "WA",
"postal_code": "982721431",
"telephone_number": "360-794-5555",
"fax_number": "360-805-4797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19200 N KELSEY ST",
"city": "MONROE",
"state": "WA",
"postal_code": "982721431",
"telephone_number": "360-794-5555",
"fax_number": "360-805-4797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "DUC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-30",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR 60473508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WA
- Luxottica Retail North America Inc
- Lynn R,, Cheney, DDS, PLLC
- Macarthur Physical Therapy & Monroe Sports Therapy
- Thomas Hugh Macarthur, P.T.
- Badrossadat Madani, M.D.
- Pamela Mary Majerle, M.P.H. R.D. C.D.
- Michael Andrew Malan, DOCTOR
- Elizabeth Lynn Malatesta, D.P.T
- Danielle Marie Malmberg, LMP
- Mani & Sons LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.