Adam Jaccard, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60145729 Issued in WA

Practice address

1233 N Liberty Lake Rd
Liberty Lake, WA 99019-7518

Phone

(509) 893-1202

Fax

(509) 893-7578

NPI assigned

Nov 12, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1952602575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N LIBERTY LAKE RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197518",
            "telephone_number": "509-893-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N LIBERTY LAKE RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197518",
            "telephone_number": "509-893-1202",
            "fax_number": "509-893-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACCARD",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60145729",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.