Active NPI
Alex Matthew Jensen, PHARMD
- Pharmacist
- Spokane, WA
National Provider Identifier
1356726053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60547199
- Practice address
- 5921 N Market St
Spokane, WA 99208-2484 - Phone
- (509) 462-6576
- Fax
- (509) 434-1923
- NPI assigned
- Jul 23, 2015
- Last updated
- Mar 3, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60547199 | WA | Primary |
Addresses
Primary practice location
5921 N Market St
Spokane, WA 99208-2484
Mailing address
3210 E 44TH Ave
Apt K305
Spokane, WA 99223-7709
Phone (509) 290-3617
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 |
|---|---|---|---|
| PH60547199 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 05304
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1568571875
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1356726053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 E 44TH AVE",
"address_2": "APT K305",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992237709",
"telephone_number": "509-290-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5921 N MARKET ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992082484",
"telephone_number": "509-462-6576",
"fax_number": "509-434-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "ALEX",
"middle_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60547199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.