Yoon Ae Bae

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61064453 Issued in WA

Practice address

11607 98TH Ave NE
Kirkland, WA 98034-4216

Phone

(425) 825-8841

NPI assigned

Dec 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Kirkland, WA
  • NPI 1003821083
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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": []
}

• Katelynn Bachman, MD
• Back Into Balance
• Elizabeth Cantwell Bacon, M. ED., CCC, AAC
• David Smith Badger, M.D.
• Hyun-Jung Jessica Bae, RPH
• Carol L Baer, MD
• Matthew Adam Bagnulo, DDS
• Faja Bah
• Vanessa Ann Bahna, LAC
• Christopher F Bailey, MD

• Pharmacist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Pharmacist in Washington

• 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.

Verify at the official NPI Registry.