Jessica Chao, PHARM.D.

Individual provider Active NPI Pharmacist · Mercer Island, WA

NPI 1447596002 · NPPES record last updated Dec 28, 2012

Key facts

NPI
1447596002
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH60172841 (WA)
Practice address
5712 W Mercer Way
Mercer Island, WA 98040-4843
Phone
(206) 214-5663
NPI assigned
Dec 28, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH60172841WAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60172841 WA Yes

Addresses

Primary practice location

5712 W Mercer Way
Mercer Island, WA 98040-4843

Mailing address

5712 W Mercer Way
Mercer Island, WA 98040-4843
Phone (206) 214-5663

Other providers in Mercer Island, WA

All providers in Mercer Island, WA · Pharmacist in Washington

Sources for this page

Verify at the official NPI Registry.