Active NPI
Jordan Marie Pook, PHARMD
- Pharmacist
- Kennewick, WA
National Provider Identifier
1902579212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61173752
- Practice address
- 8313 W Clearwater PL
Kennewick, WA 99336-8580 - Phone
- (509) 627-9676
- NPI assigned
- Aug 1, 2021
- Last updated
- Aug 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61173752 | WA | Primary |
Addresses
Primary practice location
8313 W Clearwater PL
Kennewick, WA 99336-8580
Mailing address
8313 W Clearwater PL
Kennewick, WA 99336-8580
Phone (509) 627-9676
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jordan.pook@wsu.edu |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH61173752 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627776000000",
"number": "1902579212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8313 W CLEARWATER PL",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368580",
"telephone_number": "509-627-9676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8313 W CLEARWATER PL",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368580",
"telephone_number": "509-627-9676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOK",
"first_name": "JORDAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-01",
"last_updated": "2021-08-01",
"certification_date": "2021-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61173752",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jordan.pook@wsu.edu",
"affiliation": "N",
"address_1": "8313 W Clearwater Pl",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993368580",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.