Active NPI
Jamie S Xayasy, PHARMD
- Pharmacist
- Renton, WA
National Provider Identifier
1770205429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61327095
- Practice address
- 10712 SE Carr Rd
Renton, WA 98055-5826 - Phone
- (425) 277-1040
- NPI assigned
- Sep 19, 2022
- Last updated
- May 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61327095 | WA | Primary |
Addresses
Primary practice location
10712 SE Carr Rd
Renton, WA 98055-5826
Mailing address
117 SW 160TH St
Burien, WA 98166-3024
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH61327095 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington CVS Pharmacy LLC | Current | Accepting new patients | |
| Washington CVS Pharmacy LLC | Past | Accepting new patients |
Locations
117 SW 160th St
Burien, WA 98166
Phone (206) 242-2030
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1770205429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 SW 160TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10712 SE CARR RD",
"city": "RENTON",
"state": "WA",
"postal_code": "980555826",
"telephone_number": "425-277-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XAYASY",
"first_name": "JAMIE",
"middle_name": "S",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61327095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.