Active NPI
Ruihao Wen, PHARM D.
- Pharmacist
- Marysville, WA
National Provider Identifier
1881169480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60858930
- Practice address
- 1258 State Ave
Marysville, WA 98270-3602 - Phone
- (360) 658-8483
- NPI assigned
- Oct 10, 2018
- Last updated
- Sep 1, 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 | 183500000X | PH60858930 | WA | Primary |
Addresses
Primary practice location
1258 State Ave
Marysville, WA 98270-3602
Mailing address
1121 124TH Ave NE
Bellevue, WA 98005-2101
Phone (425) 201-6330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH60858930 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| PH60858930 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1881169480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 124TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052101",
"telephone_number": "425-201-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 STATE AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703602",
"telephone_number": "360-658-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEN",
"first_name": "RUIHAO",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60858930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "PH60858930",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.