Individual provider Active NPI

Jessica Camina, PHARMD

  • Pharmacist
  • Vancouver, WA
National Provider Identifier
1366993891
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60536570 Issued in WA
Practice address
12606 NE 95TH St
Vancouver, WA 98682-2398
Phone
(360) 260-7156
Fax
(800) 840-2590
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60536570 WA Primary
Pharmacist 183500000X RPH-0015224 OR

Addresses

Primary practice location

12606 NE 95TH St
Vancouver, WA 98682-2398

Mailing address

12606 NE 95TH St
Vancouver, WA 98682-2398
Phone (360) 260-7156

Other names 1

  • Jessica Rei Camina-Waldier Other name

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
RPH-0015224ORMDPharmacist
PH60536570WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1366993891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 NE 95TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822398",
            "telephone_number": "360-260-7156",
            "fax_number": "800-840-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 NE 95TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822398",
            "telephone_number": "360-260-7156",
            "fax_number": "800-840-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMINA",
        "first_name": "JESSICA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60536570",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0015224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CAMINA-WALDIER",
            "middle_name": "REI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.