Kendra Lea Jackson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHRM.PH.61333720 Issued in WA

Practice address

15731 105TH Way SE
Yelm, WA 98597-8465

Phone

(360) 915-4201

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1457262024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15731 105TH WAY SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978465",
            "telephone_number": "360-915-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15731 105TH WAY SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978465",
            "telephone_number": "360-915-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KENDRA",
        "middle_name": "LEA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "11428997-8911",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PHRM.PH.61333720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Elizabeth Hume, RN
• Ijeoma Augusta Igwe, LPN
• Insight Chiropractic Wellness Center P.S. Inc. (Yelm Chiropractic and Wellness Center)
• Carmen Ioanes, LMP
• Elishia Jackson, LAT, ATC
• Hailey Rose Johns
• Carolyn Lee Johnson, ARNP, CNM
• Christine Q. Johnson, PT, DPT
• Brittnee Kathleen Jordan, LMHCA
• Sonja Erika Kalama, LMT

• Pharmacist in Yelm, WA
• Providers in Yelm, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.