Active NPI
Jensen Lau, RPH
- Pharmacist
- Port Orchard, WA
National Provider Identifier
1578062139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60783109
- Practice address
- 3282 Bethel Rd SE
Port Orchard, WA 98366-5603 - Phone
- (360) 876-0969
- NPI assigned
- Feb 8, 2018
- Sex
- Male
- 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 | PH60783109 | WA | Primary |
Addresses
Primary practice location
3282 Bethel Rd SE
Port Orchard, WA 98366-5603
Mailing address
606 Burwell St Apt 106
Bremerton, WA 98337-1470
Phone (808) 388-9337
Other practice location 1
4818 Point Fosdick Dr NW
Gig Harbor, WA 98335-1711
Phone (253) 851-6939
Other practice location 2
1912 N Pearl St
Tacoma, WA 98406-2457
Phone (253) 879-0140
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 |
|---|---|---|---|
| PH60783109 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless 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.
-
dba Rite Aid Pharmacy 05260
- Community/Retail Pharmacy
- Port Orchard, WA
- NPI 1821107137
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1578062139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 BURWELL ST APT 106",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983371470",
"telephone_number": "808-388-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3282 BETHEL RD SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983665603",
"telephone_number": "360-876-0969"
}
],
"practiceLocations": [
{
"address_1": "4818 Point Fosdick Dr NW",
"address_purpose": "LOCATION",
"city": "Gig Harbor",
"state": "WA",
"postal_code": "983351711",
"country_code": "US",
"telephone_number": "253-851-6939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1912 N Pearl St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984062457",
"country_code": "US",
"telephone_number": "253-879-0140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAU",
"first_name": "JENSEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60783109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.