JACKIE MARY WIDHALM RPH
NPI 1750653515
Pharmacist in Yakima, WA

Active since February 08, 2012
5801 SUMMITVIEW AVE, YAKIMA, WA 98908(509) 965-6393(509) 965-5966 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Mary Widhalm Rph NPPES

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

JACKIE MARY WIDHALM RPH (NPI 1750653515) is an individual pharmacist in Yakima, Washington, licensed in Washington (PH00015720) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1750653515
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJACKIE MARY WIDHALMCredential: RPH
Location Address5801 SUMMITVIEW AVEYakima, WA 98908-3006
Mailing Address5801 Summitview AveYakima, WA 98908-3006 · (509) 965-6393 · Fax (509) 965-5966
Fax(509) 965-5966
Sole ProprietorYes
Enumeration DateFebruary 8, 2012
NPI 1750653515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WA · PH00015720
Definition
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.
5801 SUMMITVIEW AVE, Yakima, WA 98908

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.

Pharmacist
5801 SUMMITVIEW AVE
YAKIMA, WA 98908
Pharmacy (Community/Retail Pharmacy)
5801 SUMMITVIEW AVE
YAKIMA, WA 98908
Optometrist
5801 SUMMITVIEW AVE
YAKIMA, WA 98908
Pharmacist
5801 SUMMITVIEW AVE
YAKIMA, WA 98908
Eyewear Supplier
5801 SUMMITVIEW AVE
YAKIMA, WA 98908

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 Jackie Widhalm's NPI number?

The NPI number for Jackie Widhalm is 1750653515. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Where is Jackie Widhalm located?

Jackie Widhalm practices at 5801 Summitview Ave, Yakima, WA 98908. The listed phone number is (509) 965-6393.

What is Jackie Widhalm's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jackie Widhalm was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.