Individual provider Active NPI

Jennifer Austin

  • Pharmacist
  • Lacey, WA
National Provider Identifier
1851751291
Registry record updated Feb 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00020400 Issued in WA
Practice address
5707 Lacey Blvd SE Ste 103
Lacey, WA 98503-2496
Phone
(360) 459-5401
Fax
(360) 459-5278
NPI assigned
Feb 27, 2016
Last updated
Feb 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00020400 WA Primary

Addresses

Primary practice location

5707 Lacey Blvd SE Ste 103
Lacey, WA 98503-2496

Mailing address

5707 Lacey Blvd SE Ste 103
Lacey, WA 98503-2496
Phone (360) 459-5401

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

LicenseStateTypeSpecialty
PH00020400WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Medications LLC Past Accepting new patients

Organizations & group practices 1

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": "1456531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456531200000",
    "number": "1851751291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 LACEY BLVD SE STE 103",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032496",
            "telephone_number": "360-459-5401",
            "fax_number": "360-459-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 LACEY BLVD SE STE 103",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032496",
            "telephone_number": "360-459-5401",
            "fax_number": "360-459-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-27",
        "last_updated": "2016-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00020400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; 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.