Active NPI
Janet Irene Black, PHARMACIST
- Pharmacist
- Lynnwood, WA
National Provider Identifier
1104075589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH000010498
- Practice address
- 19401 40TH Avenue West
Suite 330 Career Staff Unlimited
Lynnwood, WA 98036 - Phone
- (800) 766-0122
- Fax
- (866) 835-5848
- NPI assigned
- Sep 10, 2008
- 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 | PH000010498 | WA | Primary |
Addresses
Primary practice location
19401 40TH Avenue West
Suite 330 Career Staff Unlimited
Lynnwood, WA 98036
Mailing address
4626 244TH PL SE
Issaquah, WA 98029
Phone (425) 891-6657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00010498 | Other | WA | PHARMACIST LICENSE |
Other names 1
- Janet Irene Brakebill
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 |
|---|---|---|---|
| PH000010498 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1104075589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4626 244TH PL SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98029",
"telephone_number": "425-891-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 40TH AVENUE WEST",
"address_2": "SUITE 330 CAREER STAFF UNLIMITED",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "98036",
"telephone_number": "800-766-0122",
"fax_number": "866-835-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "JANET",
"middle_name": "IRENE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH000010498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH00010498",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "BRAKEBILL",
"middle_name": "IRENE",
"credential": "PHARMACIST",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.