Active NPI
Mitchell Haypui Wong, PHARMD
- Pharmacist
- Seattle, WA
National Provider Identifier
1609601004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61542835
- Practice address
- 325 9TH Ave
Seattle, WA 98104-2420 - Phone
- (206) 744-3000
- NPI assigned
- Sep 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 126208 | MN | |
| Pharmacist | 183500000X | PH61542835 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Seattle, WA 98104-2420
Mailing address
17565 NE 67TH CT Unit 502
Redmond, WA 98052-1121
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126208 | MN | MD | Pharmacist |
| PH61542835 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1609601004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17565 NE 67TH CT UNIT 502",
"city": "REDMOND",
"state": "WA",
"postal_code": "980521121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "MITCHELL",
"middle_name": "HAYPUI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-05",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "126208",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61542835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.