Individual provider Active NPI

Paul Bradley Jansma

  • Pharmacist
  • Seattle, WA
National Provider Identifier
1891658761
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60788779 Issued in WA
Practice address
501 Roy St Unit R200
Seattle, WA 98109-4269
Phone
(715) 574-2275
NPI assigned
Dec 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60788779 WA Primary

Addresses

Primary practice location

501 Roy St Unit R200
Seattle, WA 98109-4269

Mailing address

501 Roy St Unit R200
Seattle, WA 98109-4269
Phone (715) 574-2275

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
PH60788779WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1764979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1891658761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROY ST UNIT R200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094269",
            "telephone_number": "715-574-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROY ST UNIT R200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094269",
            "telephone_number": "715-574-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSMA",
        "first_name": "PAUL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-06",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60788779",
            "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 Dec 6, 2025; 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.