Active NPI
Jamine M. Matkowski, RPH
- Pharmacist
- Kennewick, WA
National Provider Identifier
1750670444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00016305
- Practice address
- 6351 W Rio Grande Ave
Kennewick, WA 99336-7634 - Phone
- (509) 579-4791
- Fax
- (509) 579-5907
- NPI assigned
- Apr 1, 2011
- Last updated
- Jun 23, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0009610 | OR | |
| Pharmacist | 183500000X | P5404 | ID | |
| Pharmacist | 183500000X | 00016305 | WA | |
| Pharmacist | 183500000X | PH00016305 | WA | Primary |
Addresses
Primary practice location
6351 W Rio Grande Ave
Kennewick, WA 99336-7634
Mailing address
6351 W Rio Grande Ave
Kennewick, WA 99336-7634
Phone (509) 579-4791
Other practice location 1
515 W Court St
Pasco, WA 99301-3737
Phone (509) 543-8520
Other names 1
- Jamie Matkowski
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmatkowski40025@yvfwc.direct-ci.com | Direct |
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 |
|---|---|---|---|
| P5404 | ID | MD | Pharmacist |
| 0009610 | OR | MD | Pharmacist |
| 00016305 | WA | MD | Pharmacist |
| PH00016305 | WA | MD | Pharmacist |
Interoperability endpoints
- jmatkowski40025@yvfwc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1750670444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6351 W RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367634",
"telephone_number": "509-579-4791",
"fax_number": "509-579-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6351 W RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367634",
"telephone_number": "509-579-4791",
"fax_number": "509-579-5907"
}
],
"practiceLocations": [
{
"address_1": "515 W Court St",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993013737",
"country_code": "US",
"telephone_number": "509-543-8520",
"fax_number": "509-547-9363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATKOWSKI",
"first_name": "JAMINE",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0009610",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5404",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "00016305",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00016305",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmatkowski40025@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6351 W Rio Grande Ave",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993367634",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "MATKOWSKI",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.