Active NPI
Nathan T Lan, RPH
- Pharmacist
- Redmond, WA
National Provider Identifier
1598898678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00042582
- Practice address
- 17220 Redmond Way
Redmond, WA 98052-4403 - Phone
- (425) 883-0607
- Fax
- (425) 883-4555
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- 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 | PH00042582 | WA | Primary |
Addresses
Primary practice location
17220 Redmond Way
Redmond, WA 98052-4403
Mailing address
286 Glennwood CT SE
Renton, WA 98056-8895
Phone (425) 235-1995
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00042582 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598898678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 GLENNWOOD CT SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980568895",
"telephone_number": "425-235-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17220 REDMOND WAY",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524403",
"telephone_number": "425-883-0607",
"fax_number": "425-883-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAN",
"first_name": "NATHAN",
"middle_name": "T",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00042582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.