Active NPI
Jacqueline Mejia Co, PHARMD
- Pharmacist
- Bellevue, WA
National Provider Identifier
1245667195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60362297
- Practice address
- 2353 130TH Ave NE Ste 100
Bellevue, WA 98005-1759 - Phone
- (925) 408-0168
- NPI assigned
- Oct 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | PH60362297 | WA | Primary |
Addresses
Primary practice location
2353 130TH Ave NE Ste 100
Bellevue, WA 98005-1759
Mailing address
3058 Gardenia LN SW Apt 10-104
Tumwater, WA 98512-0430
Phone (925) 408-0168
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH60362297 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1245667195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3058 GARDENIA LN SW APT 10-104",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985120430",
"telephone_number": "925-408-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2353 130TH AVE NE STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051759",
"telephone_number": "925-408-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CO",
"first_name": "JACQUELINE",
"middle_name": "MEJIA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-08",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60362297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.