Active NPI
Yoon Ae Bae
- Pharmacist
- Kirkland, WA
National Provider Identifier
1982291191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61064453
- Practice address
- 11607 98TH Ave NE
Kirkland, WA 98034-4216 - Phone
- (425) 825-8841
- NPI assigned
- Dec 22, 2020
- Last updated
- Dec 22, 2020
- 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 | PH61064453 | WA | Primary |
Addresses
Primary practice location
11607 98TH Ave NE
Kirkland, WA 98034-4216
Mailing address
3719 146TH St SW
Lynnwood, WA 98087-6383
Phone (425) 329-5927
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 |
|---|---|---|---|
| PH61064453 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1982291191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3719 146TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980876383",
"telephone_number": "425-329-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11607 98TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344216",
"telephone_number": "425-825-8841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAE",
"first_name": "YOON",
"middle_name": "AE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61064453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.