Jisoon Alexandra Wedoff, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

61068693 Issued in WA

Practice address

19191 N Kelsey St
Monroe, WA 98272-1459

Phone

(306) 365-4036

NPI assigned

Jan 22, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washington CVS Pharmacy LLC

  • Pharmacy
  • Mercer Island, WA
  • NPI 1194834408
  NPD (past)
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Bellevue, WA
  • NPI 1750751590
  NPD (past)

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1902496987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 168TH AVE NE APT 627",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526292",
            "telephone_number": "563-581-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19191 N KELSEY ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721459",
            "telephone_number": "306-365-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDOFF",
        "first_name": "JISOON",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "61068693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Chiropractic Associates Professional Corporation
• Washington State Department of Corrections-Monroe Correctional Complex
• Mikel Wassemiller
• Watchful Anesthesia LLC
• Valerie M Weber, DDS
• Susannah Weimorts, LMT
• Emilyn Katherine Weiss, ARNP
• Wellbeing LLC
• Kayla Wenker, OTR/L
• Scott Allen Westford, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.