Jessica Sue Bergstrom, PHARMD

Primary specialty

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

License

PH61206650 Issued in WA

Practice address

11224 NE 124TH St
Kirkland, WA 98034-4301

Phone

(425) 820-0440

Fax

(425) 823-4940

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Rice Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1124741103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11224 NE 124TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344301",
            "telephone_number": "425-820-0440",
            "fax_number": "425-823-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11224 NE 124TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344301",
            "telephone_number": "425-820-0440",
            "fax_number": "425-823-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTROM",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH61206650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Paul Benoff, LMP
• Paul Frank Benoit, DDS
• Chad M Bentsen, M.D.
• Carmen Noel Benway, LMHC, MHP, NCC
• Kaitlyn Berg
• Sewassew Berhane
• Ariella Berlinski, OTR/L
• Hanan S. Berman, PH.D.
• Sarah Stapleton Bernards, MD
• Berries Health

• All providers in Kirkland, 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 5, 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.