Individual provider Active NPI

Jordan Marie Pook, PHARMD

  • Pharmacist
  • Kennewick, WA
National Provider Identifier
1902579212
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61173752 Issued in WA
Practice address
8313 W Clearwater PL
Kennewick, WA 99336-8580
Phone
(509) 627-9676
NPI assigned
Aug 1, 2021
Last updated
Aug 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PH61173752WAMDPharmacist

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.

Verify at the official NPI Registry.