Jessica Pham

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

251 Marysville Mall
Marysville, WA 98270-5501

Phone

(360) 659-0492

NPI assigned

Jun 25, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kimberly.do@riteaid.com

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Marysville, WA
  • NPI 1316056633
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1093447476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 69TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MARYSVILLE MALL",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705501",
            "telephone_number": "360-659-0492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17226 Smokey Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982238718",
            "country_code": "US",
            "telephone_number": "360-657-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kimberly.Do@RiteAid.com",
            "affiliation": "Y",
            "affiliationName": "Washington CVS Pharmacy LLC",
            "address_1": "17226 Smokey Point Boulevard",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982238718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Daniel Peterson, PT
• Kathleen Ann Peterson, OTR/L
• Lyubov Petrushak
• Dylan Pettit
• Larry Lee Pevny, DENTURIST
• Nhat Pham, DO
• Quoc-Cuong Pham, PHARM.D
• Debbie Phibbs, OT
• Philip Paulsen DDS
• Elizabeth Ann Kristine Phillips, DPT

• Student in an Organized Health Care Education/Training Program in Marysville, WA
• Providers in Marysville, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; 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.