Individual provider Active NPI

David Huang

  • Pharmacist
  • Kenmore, WA
National Provider Identifier
1972185445
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61088844 Issued in WA
Practice address
6414 NE Bothell Way
Kenmore, WA 98028-4819
Phone
(425) 486-7711
NPI assigned
Apr 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61088844 WA Primary

Addresses

Primary practice location

6414 NE Bothell Way
Kenmore, WA 98028-4819

Mailing address

23401 Lakeview Dr Unit J306
Mountlake Terrace, WA 98043-2848
Phone (316) 650-5027

Other identifiers 1

IdentifierTypeStateIssuer
PH61088844OtherWAPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
PH61088844WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ostroms Enterprises Inc CurrentSince Feb 13, 2022 Accepting new patients
Ostroms Enterprises Inc PastSince May 16, 2021 Accepting new patients

Locations

6414 NE Bothell Way
Kenmore, WA 98028
Phone (425) 486-7711

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1972185445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23401 LAKEVIEW DR UNIT J306",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432848",
            "telephone_number": "316-650-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 NE BOTHELL WAY",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284819",
            "telephone_number": "425-486-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-24",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61088844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PH61088844",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.