Denise Joann Jackman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00010508 Issued in WA

Practice address

1410 W 27TH Ave
Kennewick, WA 99337-3701

Phone

(509) 585-0846

Fax

(509) 585-0847

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831280551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 W 35TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993373720",
            "telephone_number": "509-582-2753",
            "fax_number": "509-585-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W 27TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993373701",
            "telephone_number": "509-585-0846",
            "fax_number": "509-585-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "DENISE",
        "middle_name": "JOANN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00010508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH00010508",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brian Christopher Jacks, O.D.
• Daniel Leroy Jacks, O.D.
• Victoria Lynn Jackson
• Connie Davis Jacob, MA CCC-SLP
• Amy Jacobs

• Pharmacist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.