Individual provider Active NPI

Tara Anne Jermasek

  • Pharmacy Technician
  • Marysville, WA
National Provider Identifier
1942283783
Registry record updated Jul 13, 2026
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Dec 20, 2009.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
VA00044253 Issued in WA
Practice address
6602 64TH St NE
Marysville, WA 98270-4834
Phone
(360) 658-5218
Fax
(360) 658-5549
NPI assigned
Nov 25, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X VA00044253 WA Primary

Addresses

Primary practice location

6602 64TH St NE
Marysville, WA 98270-4834

Mailing address

27131 102ND Ave NW
Stanwood, WA 98292-8009
Phone (360) 658-5218

Other identifiers 1

IdentifierTypeStateIssuer
VA00044253OtherWALICENSE NUMBER

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
VA00044253WAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942283783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 102ND AVE NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928009",
            "telephone_number": "360-658-5218",
            "fax_number": "360-658-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 64TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704834",
            "telephone_number": "360-658-5218",
            "fax_number": "360-658-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERMASEK",
        "first_name": "TARA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00044253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "VA00044253",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

Verify at the official NPI Registry.