Individual provider Active NPI

Jennifer Ryu, PHARMD

  • Pharmacist
  • Tacoma, WA
National Provider Identifier
1184432080
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61579251 Issued in WA
Practice address
1901 S Union Ave Ste 7009
Tacoma, WA 98405-1702
Phone
(253) 459-6736
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61579251 WA Primary

Addresses

Primary practice location

1901 S Union Ave Ste 7009
Tacoma, WA 98405-1702

Mailing address

1901 S Union Ave Ste 7009
Tacoma, WA 98405-1702

Other practice location 1

601 McPhee Rd SW
Olympia, WA 98502-5080
Phone (360) 706-6490

Other practice location 2

4545 Point Fosdick Dr Ste 260
Gig Harbor, WA 98335-1700
Phone (253) 530-8160

Other practice location 3

202 N Division St Ste 401
Auburn, WA 98001-4939
Phone (253) 545-2258

Other practice location 4

1322 3rd St SE Ste 20
Puyallup, WA 98372-3771
Phone (253) 697-1350

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

LicenseStateTypeSpecialty
PH61579251WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Pharmacist Past Accepting new patients
Multicare Health System 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.

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1184432080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE STE 7009",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE STE 7009",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-459-6736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 McPhee Rd SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985025080",
            "country_code": "US",
            "telephone_number": "360-706-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Point Fosdick Dr Ste 260",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351700",
            "country_code": "US",
            "telephone_number": "253-530-8160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 N Division St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980014939",
            "country_code": "US",
            "telephone_number": "253-545-2258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1322 3rd St SE Ste 20",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723771",
            "country_code": "US",
            "telephone_number": "253-697-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYU",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61579251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.