Active NPI
Xiaofan Sun, PHARMACIST
- Pharmacist
- Oak Harbor, WA
National Provider Identifier
1902592397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61396745
- Practice address
- 31645 State Route 20
Oak Harbor, WA 98277-3173 - Phone
- (360) 679-3522
- NPI assigned
- Apr 18, 2023
- 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 | PH61396745 | WA | Primary |
Addresses
Primary practice location
31645 State Route 20
Oak Harbor, WA 98277-3173
Mailing address
31645 State Route 20
Oak Harbor, WA 98277-3173
Phone (360) 679-3522
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 |
|---|---|---|---|
| PH61396745 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Oak Harbor, WA
- NPI 1346256633
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760832000000",
"number": "1902592397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31645 STATE ROUTE 20",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773173",
"telephone_number": "360-679-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31645 STATE ROUTE 20",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773173",
"telephone_number": "360-679-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "XIAOFAN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2025-10-19",
"certification_date": "2025-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61396745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.