Active NPI
Jennifer Lynn Dahl, PHARMD
- Pharmacotherapy Pharmacist
- Mount Vernon, WA
National Provider Identifier
1518259134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH14294
- Practice address
- 1415 E Kincaid St
Mount Vernon, WA 98274-4126 - Phone
- (360) 428-2364
- NPI assigned
- May 16, 2011
- Last updated
- Sep 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH14294 | WA | Primary |
Addresses
Primary practice location
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Mailing address
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 428-2364
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 |
|---|---|---|---|
| PH14294 | WA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348876800000",
"number": "1518259134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744126",
"telephone_number": "360-428-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744126",
"telephone_number": "360-428-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2012-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH14294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.