Active NPI
Yuriy Olegovich Lisovenko, PHARMD
- Pharmacist
- Spokane Valley, WA
National Provider Identifier
1811620792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60667890
- Practice address
- 12222 E Sprague Ave
Spokane Valley, WA 99206-5151 - Phone
- (509) 924-4922
- Fax
- (509) 922-8434
- NPI assigned
- Jul 7, 2022
- Last updated
- Jul 6, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60667890 | WA | Primary |
| Pharmacist | 183500000X | P8075 | ID |
Addresses
Primary practice location
12222 E Sprague Ave
Spokane Valley, WA 99206-5151
Mailing address
12 E Empire Ave
Spokane, WA 99207-1706
Phone (509) 325-0781
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 |
|---|---|---|---|
| P8075 | ID | MD | Pharmacist |
| PH60667890 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1811620792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 E EMPIRE AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071706",
"telephone_number": "509-325-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 E SPRAGUE AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992065151",
"telephone_number": "509-924-4922",
"fax_number": "509-922-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISOVENKO",
"first_name": "YURIY",
"middle_name": "OLEGOVICH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60667890",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8075",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.