Il-Jea Bahk

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH60573201 Issued in WA

Practice address

1100 N Meridian
Puyallup, WA 98371-4403

Phone

(253) 840-8183

Fax

(253) 840-8177

NPI assigned

Sep 1, 2016

Sex

Male

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.

• Fred Meyer Stores Inc

  • Community/Retail Pharmacy
  • Burien, WA
  • NPI 1821024555
  NPD (past)
• Fred Meyer Stores Inc.

  • Community/Retail Pharmacy
  • Lynnwood, WA
  • NPI 1558235762
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1043766751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714403",
            "telephone_number": "253-840-8183",
            "fax_number": "253-840-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983714403",
            "telephone_number": "253-840-8183",
            "fax_number": "253-840-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHK",
        "first_name": "IL-JEA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60573201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas D Backous, MD
• Julie E Badham, B.S., P.T.
• Douglas Allan Badzik, M.D.
• April Marie Baez
• Johana Joy Ibanez Baffoe
• Adwoa Baidoo-Williams, PHARMD
• Breanna M Baildon, RDN
• Anne Elizabeth Bailey, DPT
• Beth Elaine Bailey, RN, MN
• Christina Leigh Bailey, OD

• All providers in Puyallup, WA
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.