Active NPI
Jazlyn Yamada
- Pharmacist
- Aloha, OR
National Provider Identifier
1619758208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0019755
- Practice address
- 15901 SW Jenkins Rd
Aloha, OR 97006-5045 - Phone
- (503) 626-5754
- NPI assigned
- Oct 10, 2023
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0019755 | OR | Primary |
Addresses
Primary practice location
15901 SW Jenkins Rd
Aloha, OR 97006-5045
Mailing address
15495 SW Bunting St Apt 304B
Beaverton, OR 97007-8798
Phone (808) 381-0949
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 |
|---|---|---|---|
| RPH-0019755 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1619758208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15495 SW BUNTING ST APT 304B",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970078798",
"telephone_number": "808-381-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15901 SW JENKINS RD",
"city": "ALOHA",
"state": "OR",
"postal_code": "970065045",
"telephone_number": "503-626-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMADA",
"first_name": "JAZLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0019755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.