Individual provider Active NPI

Yishan Li, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Port Hadlock, WA
National Provider Identifier
1609650753
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
61444674 Issued in WA
Practice address
1890 Irondale Rd
Port Hadlock, WA 98339-9582
Phone
(360) 385-1900
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61444674 WA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 61444674 WA Primary

Addresses

Primary practice location

1890 Irondale Rd
Port Hadlock, WA 98339-9582

Mailing address

21110 Viking Ave NW Apt 222
Poulsbo, WA 98370-0380
Phone (706) 915-6078

Other practice location 1

21110 Viking Ave NW Apt 222
Poulsbo, WA 98370-0380
Phone (706) 915-6078

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

LicenseStateTypeSpecialty
61444674WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1609650753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 VIKING AVE NW APT 222",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700380",
            "telephone_number": "706-915-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 IRONDALE RD",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983399582",
            "telephone_number": "360-385-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21110 Viking Ave NW Apt 222",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983700380",
            "country_code": "US",
            "telephone_number": "706-915-6078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "YISHAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "61444674",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "61444674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hadlock, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.