Active NPI
Elliot Sebastian Chong
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Stanwood, WA
National Provider Identifier
1871220269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH61236416
- Practice address
- 27008 92ND Ave NW
Stanwood, WA 98292-5343 - Phone
- (360) 629-0662
- NPI assigned
- Aug 4, 2022
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH61236416 | WA | Primary |
Addresses
Primary practice location
27008 92ND Ave NW
Stanwood, WA 98292-5343
Mailing address
27008 92ND Ave NW
Stanwood, WA 98292-5343
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 |
|---|---|---|---|
| PH61236416 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782000000000",
"number": "1871220269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27008 92ND AVE NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982925343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27008 92ND AVE NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982925343",
"telephone_number": "360-629-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "ELLIOT",
"middle_name": "SEBASTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-04",
"last_updated": "2026-06-21",
"certification_date": "2026-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH61236416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.