Active NPI
Jennifer Michelle Jimenez, PHARM D
- Pharmacist
- Snohomish, WA
National Provider Identifier
1972588697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00057022
- Practice address
- 1115 13TH St
Snohomish, WA 98290-2012 - Phone
- (360) 568-0548
- Fax
- (360) 568-5151
- NPI assigned
- Dec 15, 2005
- 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 | PH00057022 | WA | Primary |
Addresses
Primary practice location
1115 13TH St
Snohomish, WA 98290-2012
Mailing address
16528 148TH Ave NE
Unit B
Woodinville, WA 98072-4551
Phone (425) 485-9922
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 |
|---|---|---|---|
| PH00057022 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972588697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16528 148TH AVE NE",
"address_2": "UNIT B",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980724551",
"telephone_number": "425-485-9922",
"fax_number": "360-568-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 13TH ST",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902012",
"telephone_number": "360-568-0548",
"fax_number": "360-568-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00057022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.