Active NPI
Jo Ann Perez
- Pharmacist
- Kent, WA
National Provider Identifier
1528334265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00014696
- Practice address
- 25250 Pacific Hwy S
Kent, WA 98032-6539 - Phone
- (253) 946-7433
- NPI assigned
- Mar 27, 2012
- 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 | 00014696 | WA | Primary |
| Pharmacist | 183500000X | 17762 | NV |
Addresses
Primary practice location
25250 Pacific Hwy S
Kent, WA 98032-6539
Mailing address
25250 Pacific Hwy S
Kent, WA 98032-6539
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17762 | NV | MD | Pharmacist |
| 00014696 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | 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": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1528334265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25250 PACIFIC HWY S",
"city": "KENT",
"state": "WA",
"postal_code": "980326539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25250 PACIFIC HWY S",
"city": "KENT",
"state": "WA",
"postal_code": "980326539",
"telephone_number": "253-946-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JO ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "00014696",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
- Jayne Pelger, MS LMHC CDP
- Nikole A Penman, LMHC
- People Helping People Afh (People Helping People Adult Family Home)
- John Patrick D Peralta, MN, RN
- Omar Gerardo Perestrejo, CERT MEDICAL INTERP
- Performance Modalities Inc. (Performance Home Medical)
- Angela Marie Perkins
- Day Anna Perkins, LMP
- Indina Shade Perkins
- Ryan James Perklns
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.