Active NPI
Xiaomeng Jiang
- Pharmacist
- Seattle, WA
National Provider Identifier
1689384414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61314776
- Practice address
- 566 Denny Way
Seattle, WA 98109-5012 - Phone
- (206) 204-1982
- NPI assigned
- Dec 2, 2022
- Last updated
- Dec 2, 2022
- Sex
- Female
- 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 | PH61314776 | WA | Primary |
Addresses
Primary practice location
566 Denny Way
Seattle, WA 98109-5012
Mailing address
566 Denny Way
Seattle, WA 98109-5012
Phone (206) 204-1982
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 |
|---|---|---|---|
| PH61314776 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
566 Denny Way
Seattle, WA 98109
Phone (206) 204-1982
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1689384414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 DENNY WAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981095012",
"telephone_number": "206-204-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 DENNY WAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981095012",
"telephone_number": "206-204-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIANG",
"first_name": "XIAOMENG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-02",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61314776",
"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 Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.