JESSICA SUE BERGSTROM PHARMD
NPI 1124741103
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kirkland, WA

Active since September 23, 2022
11224 NE 124TH ST, KIRKLAND, WA 98034(425) 820-0440(425) 823-4940 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Sep 23, 2022 (2 updates tracked since 2022).

About Jessica Sue Bergstrom Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SUE BERGSTROM PHARMD (NPI 1124741103) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Kirkland, Washington, licensed in Washington (PH61206650) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1124741103
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameJESSICA SUE BERGSTROMCredential: PHARMD
Location Address11224 NE 124TH STKirkland, WA 98034-4301
Mailing Address11224 Ne 124th StKirkland, WA 98034-4301 · (425) 820-0440 · Fax (425) 823-4940
Fax(425) 823-4940
Sole ProprietorYes
Enumeration DateSeptember 23, 2022
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1124741103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in WA · PH61206650
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
11224 NE 124TH ST, Kirkland, WA 98034

Other Names 1

Other Name (5)Jessica Rice

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
11224 NE 124TH ST
KIRKLAND, WA 98034
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
11224 NE 124TH ST
KIRKLAND, WA 98034
Pharmacist
11224 NE 124TH ST
KIRKLAND, WA 98034
Pharmacy (Community/Retail Pharmacy)
11224 NE 124TH ST
KIRKLAND, WA 98034
Pharmacist
11224 NE 124TH ST
KIRKLAND, WA 98034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bergstrom's NPI number?

The NPI number for Jessica Bergstrom is 1124741103. It was assigned to this individual provider in the NPPES registry on September 23, 2022. The provider is also known as Jessica Rice.

Where is Jessica Bergstrom located?

Jessica Bergstrom practices at 11224 NE 124th St, Kirkland, WA 98034. The listed phone number is (425) 820-0440.

What is Jessica Bergstrom's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jessica Bergstrom was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.