JORDAN DIECKMANN (NPI# 1922459890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922459890 |
| Entity Type | Individual |
| Full Name | JORDAN DIECKMANN |
| Credential | PHARMD |
| Practice Address |
16605 6th Ave W Apt M308 Lynnwood WA 98037-9372 |
| Practice Telephone | 5095319940 |
| Mailing Telephone | 5095319940 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60632450 | WA | Pharmacy Service Providers |
| Street Address |
16605 6TH AVE W APT M308 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98037-9372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441441 | Yin May Siu | Massage Therapist | 17812 19th Ave W, Lynnwood, WA 98037 | 2020-09-14 |
| 1629604343 | Tru Health Pllc | Chiropractor | 3503 188th St Se, Lynnwood, WA 98037 | 2020-03-13 |
| 1427536341 | Cierra Lynn Brunette | Dentist | 17425 Wa-99, Suite D, Lynnwood, WA 98037 | 2018-08-02 |
| 1831680974 | Yessica Yasmin Gaxiola | Dental Assistant | 17425 Wa-99 Suite D, Lynnwood, WA 98037 | 2018-05-24 |
| 1851888416 | Mary Soledad Ramos | Registered Nurse | 6506 168th St. Sw, Lynnwood, WA 98037 | 2018-04-19 |
| 1083144984 | Statcare Staffing | Home Health | 3526 168th Pl Sw, Lynnwood, WA 98037 | 2017-06-14 |
| 1770034910 | Emanual Kahsai | Pharmacist | 18422 41st Pl W, Lynnwood, WA 98037 | 2016-10-24 |
| 1477947133 | Costco Wholesale Corporation | Pharmacy | 18109 33rd Ave W, Lynnwood, WA 98037 | 2015-03-20 |
| 1164816872 | Costco Wholesale Corporation | Hearing Aid Equipment | 18109 33rd Avenue West, Lynnwood, WA 98037 | 2015-03-20 |
| 1801212071 | Megan Ann Herrenkohl | Social Worker | 5325 172nd St Sw, Lynnwood, WA 98037 | 2014-03-12 |
| Find all providers in zip 98037 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295381143 | Peter Y Hyun | Pharmacist | 18322 48th Ave W, Lynnwood, WA 98037-4614 | 2019-08-15 |
| 1346707569 | Jesse Aidan Dinh | Pharmacist | 15928 14th Ave W, Lynnwood, WA 98087-6518 | 2019-02-24 |
| 1093281685 | Quynh Nguyen T Vo | Pharmacist | 5017 176th St Sw Apt B, Lynnwood, WA 98037-9238 | 2018-10-22 |
| 1518445030 | Mackhai Nguyen | Pharmacist | 1230 181st Pl Sw, Lynnwood, WA 98037-4958 | 2018-08-06 |
| 1598204950 | Adam Taborga | Pharmacist | 4100 194th St Sw, Lynnwood, WA 98036-4613 | 2017-02-18 |
| 1770034910 | Emanual Kahsai | Pharmacist | 18422 41st Pl W, Lynnwood, WA 98037 | 2016-10-24 |
| 1336694835 | Chuyi Luliang | Pharmacist | 19500 Highway 99 Ste 110, Lynnwood, WA 98036-5241 | 2016-08-24 |
| 1174973465 | Kerolos Adel Y Soliman | Pharmacist | 14912 17th Pl W, Lynnwood, WA 98087-8795 | 2016-06-16 |
| 1043675465 | Yasaman Sotoodian | Pharmacist | 2610 164th St Sw, Lynnwood, WA 98087-7845 | 2015-12-30 |
| 1972973386 | Minako Berthet | Pharmacist | 7500a 196th St Sw, Lynnwood, WA 98036 | 2015-09-28 |
| Find all providers in LYNNWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.