JESSA MARIE KOCH PHARMD
NPI 1508270463
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Bernardino, CA

Q: What is Jessa Koch's NPI number?

The NPI number for Jessa Koch is 1508270463. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Q: What is Jessa Koch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessa Koch was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since June 18, 2014

250 S G ST, SAN BERNARDINO, CA 92410(855) 558-1100 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessa Marie Koch Pharmd NPPES

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

JESSA MARIE KOCH PHARMD (NPI 1508270463) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in San Bernardino, California, licensed in California (75756) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1508270463

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameJESSA MARIE KOCHCredential: PHARMD

Location Address250 S G STSan Bernardino, CA 92410-3320

Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (855) 558-1100

Phone(855) 558-1100

Sole ProprietorNo

Enumeration DateJune 18, 2014

Last NPPES UpdateMarch 16, 2017

✔ NPI 1508270463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

Licenses✔ Licensed in CA · 75756✔ Licensed in PA · RP448743

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.

Also ListedPharmacistTaxonomy 183500000X · License RP448743 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

250 S G ST, San Bernardino, CA 92410

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Other Providers at the Same Location NPPES 20

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

ROBERT WILLIAM WATROUS MD

Family Medicine (Addiction Medicine)