Individual provider Active NPI

Jennifer Carey Mehlberg, PHARM.D., CACP

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1801865126
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00019459 Issued in WA
Practice address
4245 Roosevelt Way NE
Pharmacy, Box 354735
Seattle, WA 98105-6008
Phone
(206) 598-5579
Fax
(206) 598-2717
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH00019459 WA
Pharmacist 183500000X PH00019459 WA Primary

Addresses

Primary practice location

4245 Roosevelt Way NE
Pharmacy, Box 354735
Seattle, WA 98105-6008

Mailing address

3419 21St Ave W
Seattle, WA 98199-2304
Phone (206) 598-7566

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
PH00019459WAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: jmehlberg72867@direct.ehre.uwmedicine.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1801865126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 21ST AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981992304",
            "telephone_number": "206-598-7566",
            "fax_number": "206-598-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 ROOSEVELT WAY NE",
            "address_2": "PHARMACY, BOX 354735",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056008",
            "telephone_number": "206-598-5579",
            "fax_number": "206-598-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLBERG",
        "first_name": "JENNIFER",
        "middle_name": "CAREY",
        "credential": "PHARM.D., CACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH00019459",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00019459",
            "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 Jan 9, 2019; 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.