Active NPI
Jennifer E Query, PHARMD
- Pharmacist
- Kelso, WA
National Provider Identifier
1043510316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00060814
- Practice address
- 411 Three Rivers Dr
Kelso, WA 98626-3126 - Phone
- (360) 636-5430
- Fax
- (360) 636-5471
- NPI assigned
- Nov 2, 2010
- 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 | PH00060814 | WA | Primary |
Addresses
Primary practice location
411 Three Rivers Dr
Kelso, WA 98626-3126
Mailing address
411 Three Rivers Dr
Kelso, WA 98626-3126
Phone (360) 636-5430
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 |
|---|---|---|---|
| PH00060814 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway 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
- Kelso, WA
- NPI 1407885437
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1043510316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 THREE RIVERS DR",
"city": "KELSO",
"state": "WA",
"postal_code": "986263126",
"telephone_number": "360-636-5430",
"fax_number": "360-636-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 THREE RIVERS DR",
"city": "KELSO",
"state": "WA",
"postal_code": "986263126",
"telephone_number": "360-636-5430",
"fax_number": "360-636-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUERY",
"first_name": "JENNIFER",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00060814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kelso, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.