Active NPI
Jing Hua Li, PHARMD
- Pharmacist
- Vancouver, WA
National Provider Identifier
1952803637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00061219
- Practice address
- 12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055 - Phone
- (360) 449-1600
- NPI assigned
- Mar 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0010603 | OR | |
| Pharmacist | 183500000X | PH00061219 | WA | Primary |
Addresses
Primary practice location
12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Mailing address
8584 SE Constance Dr
Happy Valley, OR 97086-3428
Phone (503) 970-4975
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 |
|---|---|---|---|
| RPH-0010603 | OR | MD | Pharmacist |
| PH00061219 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1952803637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8584 SE CONSTANCE DR",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970863428",
"telephone_number": "503-970-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12607 SE MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846055",
"telephone_number": "360-449-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JING",
"middle_name": "HUA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010603",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00061219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.