Individual provider Active NPI

Jaime Washbourne, DPH

  • Pharmacist
  • Oklahoma City, OK
National Provider Identifier
1427482801
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13790 Issued in OK
Practice address
4243 Will Rogers Pkwy
Oklahoma City, OK 73108-2039
Phone
(405) 546-3900
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18053 CO
Pharmacist 183500000X 13790 OK Primary

Addresses

Primary practice location

4243 Will Rogers Pkwy
Oklahoma City, OK 73108-2039

Mailing address

4700 E Forrest Hills Rd
Guthrie, OK 73044-8880
Phone (720) 552-2111

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

State licenses

LicenseStateTypeSpecialty
18053COMDPharmacist
13790OKMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1427482801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E FORREST HILLS RD",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730448880",
            "telephone_number": "720-552-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 WILL ROGERS PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731082039",
            "telephone_number": "405-546-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBOURNE",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "18053",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.