Active NPI
Jennifer Delzer, R.PH.
- Pharmacist
- Vancouver, WA
National Provider Identifier
1427333004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 00015270
- Practice address
- 2211 E Mill Plain Blvd
Vancouver, WA 98661-4329 - Phone
- (360) 699-6068
- NPI assigned
- Oct 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH 00015270 | WA | Primary |
| Pharmacist | 183500000X | RPH-0007930 | OR |
Addresses
Primary practice location
2211 E Mill Plain Blvd
Vancouver, WA 98661-4329
Mailing address
4030 SW Tualaway Ave
Beaverton, OR 97005-2345
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 |
|---|---|---|---|
| RPH-0007930 | OR | MD | Pharmacist |
| PH 00015270 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1427333004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 SW TUALAWAY AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614329",
"telephone_number": "360-699-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELZER",
"first_name": "JENNIFER",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00015270",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0007930",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.