Active NPI
Rajwinder Jammu, RPH
- Pharmacist
- Covington, WA
National Provider Identifier
1558573204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00056813
- Practice address
- 17051 SE 272ND St
24
Covington, WA 98042-4943 - Phone
- (253) 630-9818
- Fax
- (253) 639-0453
- NPI assigned
- May 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00056813 | WA | Primary |
Addresses
Primary practice location
17051 SE 272ND St
24
Covington, WA 98042-4943
Mailing address
10721 SE 260TH PL
Kent, WA 98030-7049
Phone (253) 856-1974
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00056813 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558573204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10721 SE 260TH PL",
"city": "KENT",
"state": "WA",
"postal_code": "980307049",
"telephone_number": "253-856-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17051 SE 272ND ST",
"address_2": "24",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980424943",
"telephone_number": "253-630-9818",
"fax_number": "253-639-0453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMMU",
"first_name": "RAJWINDER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00056813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.