Active NPI
Jiawei Li
- Pharmacist
- Renton, WA
National Provider Identifier
1649044603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61469409
- Practice address
- 17254 140TH Ave SE
Renton, WA 98058-7014 - Phone
- (425) 226-7000
- NPI assigned
- Nov 10, 2023
- 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 | 61469409 | WA | Primary |
Addresses
Primary practice location
17254 140TH Ave SE
Renton, WA 98058-7014
Mailing address
18141 169TH Ave SE
Renton, WA 98058-8857
Phone (206) 788-7794
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 |
|---|---|---|---|
| 61469409 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1649044603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18141 169TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980588857",
"telephone_number": "206-788-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17254 140TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980587014",
"telephone_number": "425-226-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JIAWEI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-10",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "61469409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.