Active NPI
Frederick Steven Jestrab, RPH
- Psychiatric Pharmacist
- Tacoma, WA
National Provider Identifier
1225035728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- PH00010322
- Practice address
- 9601 Steilacoom Blvd SW
Western State Hospital- Mail Stop 13-100
Tacoma, WA 98498-7213 - Phone
- (253) 756-2521
- Fax
- (253) 756-2707
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | PH00010322 | WA | Primary |
Addresses
Primary practice location
9601 Steilacoom Blvd SW
Western State Hospital- Mail Stop 13-100
Tacoma, WA 98498-7213
Mailing address
3119 Olympic Blvd W
University Place, WA 98466-1605
Phone (253) 566-6621
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010322 | WA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225035728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 OLYMPIC BLVD W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984661605",
"telephone_number": "253-566-6621",
"fax_number": "253-756-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"address_2": "WESTERN STATE HOSPITAL- MAIL STOP 13-100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984987213",
"telephone_number": "253-756-2521",
"fax_number": "253-756-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESTRAB",
"first_name": "FREDERICK",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "WA",
"license": "PH00010322",
"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 Jul 13, 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.