Individual provider Active NPI

Jo Sean Hernandez Ignaco, PHARMD

  • Pharmacist
  • Puyallup, WA
National Provider Identifier
1730044561
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
IR61332918 Issued in WA
Practice address
618 S Meridian
Puyallup, WA 98371-5999
Phone
(253) 848-2011
Fax
(253) 848-3119
NPI assigned
Dec 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X IR61332918 WA Primary

Addresses

Primary practice location

618 S Meridian
Puyallup, WA 98371-5999

Mailing address

618 S Meridian
Puyallup, WA 98371-5999
Phone (253) 848-2011

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
IR61332918WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirks Pharmacy at Hartland, Inc. CurrentSince Dec 28, 2025 Accepting new patients
Kirks Pharmacy at Hartland, Inc. PastSince Dec 28, 2025 Accepting new patients

Locations

618 S Meridian
Puyallup, WA 98371
Phone (253) 307-9567

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": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1730044561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715999",
            "telephone_number": "253-848-2011",
            "fax_number": "253-848-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715999",
            "telephone_number": "253-848-2011",
            "fax_number": "253-848-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACO",
        "first_name": "JO SEAN",
        "middle_name": "HERNANDEZ",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "IR61332918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.