Active NPI
Jake R Richards, CPHT
- Pharmacy Technician
- Edmonds, WA
National Provider Identifier
1609058635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- VA00066500
- Practice address
- 23211 Hwy 99 Apt A308
Edmonds, WA 98026-8777 - Phone
- (425) 314-8881
- NPI assigned
- Nov 30, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | VA00066500 | WA | Primary |
Addresses
Primary practice location
23211 Hwy 99 Apt A308
Edmonds, WA 98026-8777
Mailing address
23211 Hwy 99 Apt A308
Edmonds, WA 98026-8777
Phone (425) 314-8881
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 |
|---|---|---|---|
| VA00066500 | WA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1609058635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23211 HWY 99 APT A308",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268777",
"telephone_number": "425-314-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23211 HWY 99 APT A308",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268777",
"telephone_number": "425-314-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "JAKE",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "VA00066500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.