Active NPI
Jennifer Marie Mecca, PHARM.D.
- Pharmacist
- Tacoma, WA
National Provider Identifier
1336240605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00042837
- Practice address
- VA Puget Sound, American Lake, Pharmacy 119
9600 Veterans Drive
Tacoma, WA 98493-5000 - Phone
- (253) 583-2314
- NPI assigned
- Sep 26, 2006
- 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 | PH00042837 | WA | Primary |
Addresses
Primary practice location
VA Puget Sound, American Lake, Pharmacy 119
9600 Veterans Drive
Tacoma, WA 98493-5000
Mailing address
506 Montgomery St
Steilacoom, WA 98388
Phone (253) 589-0540
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 |
|---|---|---|---|
| PH00042837 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336240605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 MONTGOMERY ST",
"city": "STEILACOOM",
"state": "WA",
"postal_code": "98388",
"telephone_number": "253-589-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA PUGET SOUND, AMERICAN LAKE, PHARMACY 119",
"address_2": "9600 VETERANS DRIVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984935000",
"telephone_number": "253-583-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECCA",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00042837",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.