Individual provider Active NPI

Jacqulene Buerman, PHARMD

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1881142958
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH 00061732 Issued in WA
Practice address
5300 Tallman Ave NW
Seattle, WA 98107-3932
Phone
(206) 781-6343
NPI assigned
Sep 16, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 PH 00061732 WA Primary

Addresses

Primary practice location

5300 Tallman Ave NW
Seattle, WA 98107-3932

Mailing address

2432 10TH Ave W
Seattle, WA 98119-2525
Phone (206) 412-2864

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
PH 00061732WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1881142958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 10TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192525",
            "telephone_number": "206-412-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 TALLMAN AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073932",
            "telephone_number": "206-781-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUERMAN",
        "first_name": "JACQULENE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 00061732",
            "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 Sep 16, 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.