Active NPI
Jasmine Elysia Nguyen
- Pharmacist
- Spokane, WA
National Provider Identifier
1093433286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61310193
- Practice address
- 62 W 7TH Ave Ste 320
Spokane, WA 99204-2321 - Phone
- (509) 381-6505
- NPI assigned
- Aug 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0019085 | OR | |
| Pharmacist | 183500000X | PH61310193 | WA | Primary |
Addresses
Primary practice location
62 W 7TH Ave Ste 320
Spokane, WA 99204-2321
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
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 |
|---|---|---|---|
| 0019085 | OR | MD | Pharmacist |
| PH61310193 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1093433286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 W 7TH AVE STE 320",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042321",
"telephone_number": "509-381-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JASMINE",
"middle_name": "ELYSIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0019085",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61310193",
"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 Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.