Active NPI
Xiaojue Wang, PHARM D
- Pharmacist
- Tukwila, WA
National Provider Identifier
1871741207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00070347
- Practice address
- 12844 Military Rd S
Tukwila, WA 98168-3045 - Phone
- (206) 248-4625
- NPI assigned
- Aug 27, 2008
- 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 | PH00070347 | WA | Primary |
Addresses
Primary practice location
12844 Military Rd S
Tukwila, WA 98168-3045
Mailing address
2415 28TH PL NE
Issaquah, WA 98029-9204
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 |
|---|---|---|---|
| PH00070347 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1871741207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 28TH PL NE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980299204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12844 MILITARY RD S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683045",
"telephone_number": "206-248-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "XIAOJUE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00070347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.