Active NPI
Jane White
- Pharmacist
- Issaquah, WA
National Provider Identifier
1780081778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00061232
- Practice address
- 4255 249TH Ave SE
Issaquah, WA 98029-6402 - Phone
- (206) 300-7844
- NPI assigned
- Nov 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00061232 | WA | Primary |
| Pharmacist | 183500000X | RPH-0012518 | OR |
Addresses
Primary practice location
4255 249TH Ave SE
Issaquah, WA 98029-6402
Mailing address
4255 249TH Ave SE
Issaquah, WA 98029-6402
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-0012518 | OR | MD | Pharmacist |
| PH00061232 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1780081778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 249TH AVE SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4255 249TH AVE SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296402",
"telephone_number": "206-300-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00061232",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0012518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.