Active NPI
Jennifer Suzanne Lessiak, PHARMD
- Pharmacist
- Spokane, WA
National Provider Identifier
1053546721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00056403
- Practice address
- 400 S Thor St
Spokane, WA 99202-5075 - Phone
- (509) 532-4033
- Fax
- (509) 532-4027
- NPI assigned
- May 23, 2009
- 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 | PH00056403 | WA | Primary |
Addresses
Primary practice location
400 S Thor St
Spokane, WA 99202-5075
Mailing address
1504 S Virginia Rd
Spokane Valley, WA 99216-2348
Phone (509) 869-7481
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 |
|---|---|---|---|
| PH00056403 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores 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
- Spokane, WA
- NPI 1023054566
-
- Community/Retail Pharmacy
- Lynnwood, WA
- NPI 1558235762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1053546721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 S VIRGINIA RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992162348",
"telephone_number": "509-869-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S THOR ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992025075",
"telephone_number": "509-532-4033",
"fax_number": "509-532-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSIAK",
"first_name": "JENNIFER",
"middle_name": "SUZANNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-23",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00056403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.