Individual provider Active NPI

Jalena J Bown, PH60473403

  • Pharmacist
  • Auburn, WA
National Provider Identifier
1508238296
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60473403 Issued in WA
Practice address
202 N Division St Ste 401
Auburn, WA 98001-4939
Phone
(253) 545-2258
Fax
(253) 804-2871
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60473403 WA Primary

Addresses

Primary practice location

202 N Division St Ste 401
Auburn, WA 98001-4939

Mailing address

1203 S 40TH Ave Apt 4
Yakima, WA 98908-3972
Phone (509) 575-8036

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
PH60473403WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Pharmacist Past Accepting new patients
Multicare Health System Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1508238296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S 40TH AVE APT 4",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083972",
            "telephone_number": "509-575-8036",
            "fax_number": "509-575-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST STE 401",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014939",
            "telephone_number": "253-545-2258",
            "fax_number": "253-804-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWN",
        "first_name": "JALENA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH60473403",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60473403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.