Active NPI
Jermaine Krysty Reyes Esquivel, PHARMD
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1477272953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH87794
- Practice address
- 3301 Panama LN
Bakersfield, CA 93313-3631 - Phone
- (661) 835-9383
- NPI assigned
- Aug 26, 2022
- Last updated
- Sep 30, 2024
- 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 | RPH87794 | CA | Primary |
| Pharmacist | 183500000X | PH61302783 | WA |
Addresses
Primary practice location
3301 Panama LN
Bakersfield, CA 93313-3631
Mailing address
3301 Panama LN
Bakersfield, CA 93313-3631
Other practice location 1
1502 N Liberty Lake Rd
Liberty Lake, WA 99019-8631
Phone (509) 570-0485
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH87794 | CA | MD | Pharmacist |
| PH61302783 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1502 N Liberty Lake Rd
Liberty Lake, WA 99019
Phone (509) 570-0485
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1477272953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 PANAMA LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933133631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 PANAMA LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933133631",
"telephone_number": "661-835-9383"
}
],
"practiceLocations": [
{
"address_1": "1502 N Liberty Lake Rd",
"address_purpose": "LOCATION",
"city": "Liberty Lake",
"state": "WA",
"postal_code": "990198631",
"country_code": "US",
"telephone_number": "509-570-0485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESQUIVEL",
"first_name": "JERMAINE KRYSTY",
"middle_name": "REYES",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH87794",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61302783",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.