Active NPI
Jennifer L Bacci, PHARMD
- Pharmacist
- Seattle, WA
National Provider Identifier
1790063873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60561799
- Practice address
- 1959 NE Pacific St
Box 357630
Seattle, WA 98195-7630 - Phone
- (206) 221-3372
- NPI assigned
- Jul 24, 2011
- 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 | RP445532 | PA | |
| Pharmacist | 183500000X | PH60561799 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Box 357630
Seattle, WA 98195-7630
Mailing address
1959 NE Pacific St
Box 357630
Seattle, WA 98195-7630
Phone (206) 221-3372
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 |
|---|---|---|---|
| RP445532 | PA | MD | Pharmacist |
| PH60561799 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1790063873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 357630",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957630",
"telephone_number": "206-221-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 357630",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957630",
"telephone_number": "206-221-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACCI",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-24",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP445532",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60561799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.