Active NPI
Michael Kwok Tom, PHARMD
- Pharmacist
- Seattle, WA
National Provider Identifier
1679348718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61469004
- Practice address
- 222 Pike St
Seattle, WA 98101-2108 - Phone
- (206) 903-8392
- NPI assigned
- Nov 20, 2023
- 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 | PH61469004 | WA | Primary |
Addresses
Primary practice location
222 Pike St
Seattle, WA 98101-2108
Mailing address
1526B 13TH Ave S
Seattle, WA 98144-3408
Phone (650) 477-5513
Other practice location 1
1111 3rd Ave Ste 400
Seattle, WA 98101-3207
Phone (800) 440-1561
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 |
|---|---|---|---|
| PH61469004 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1679348718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526B 13TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981443408",
"telephone_number": "650-477-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PIKE ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012108",
"telephone_number": "206-903-8392"
}
],
"practiceLocations": [
{
"address_1": "1111 3rd Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981013207",
"country_code": "US",
"telephone_number": "800-440-1561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOM",
"first_name": "MICHAEL",
"middle_name": "KWOK",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61469004",
"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 Nov 20, 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.