NPIMap

Organization Active NPI

Jefferson Family Pharmacy Inc.

  • Pharmacy
  • Port Townsend, WA
National Provider Identifier
1477006948
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
JEFFERSON FAMILY PHARMACY INC.
Practice address
2005 E Sims Way
Port Townsend, WA 98368-6905
Phone
(360) 385-3005
Fax
(360) 385-3880
NPI assigned
Aug 1, 2016
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Mr. David Wayne Koehmstedt, RPH
Title
Ceo Pharmacist
Phone
(360) 697-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X WA Primary

Addresses

Primary practice location

2005 E Sims Way
Port Townsend, WA 98368-6905

Mailing address

2005 E Sims Way
Port Townsend, WA 98368-6905
Phone (360) 385-3005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1477006948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 E SIMS WAY",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686905",
            "telephone_number": "360-385-3005",
            "fax_number": "360-385-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E SIMS WAY",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686905",
            "telephone_number": "360-385-3005",
            "fax_number": "360-385-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON FAMILY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "KOEHMSTEDT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO PHARMACIST",
        "authorized_official_telephone_number": "360-697-5995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.