MRS. JACQUELINE JUNE DIERCKS PHARM.D.
NPI 1770878076
Pharmacist in Lynnwood, WA

Active since June 14, 2011
4111 194TH ST SW, LYNNWOOD, WA 98036(425) 835-5202(425) 835-5203 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2019, Aug 29, 2016 (2 updates tracked since 2016).

About Mrs. Jacqueline June Diercks Pharm.d. NPPES

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

MRS. JACQUELINE JUNE DIERCKS PHARM.D. (NPI 1770878076) is an individual pharmacist in Lynnwood, Washington, licensed in Washington (PH00068563) and active in the NPI registry since June 2011. She maintains a secondary practice location in Mount Vernon.

NPPES Registry Identity

NPI1770878076
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. JACQUELINE JUNE DIERCKSCredential: PHARM.D.
Location Address4111 194TH ST SWLynnwood, WA 98036-4604
Mailing Address4111 194th St SwLynnwood, WA 98036-4604 · (425) 835-5202 · Fax (425) 835-5203
Fax(425) 835-5203
Sole ProprietorYes
Enumeration DateJune 14, 2011
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1770878076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WA · PH00068563
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.
Also ListedPharmacist · Ambulatory CareTaxonomy 1835P2201X · License PH00068563 (WA)
4111 194TH ST SW, Lynnwood, WA 98036

Secondary Practice Location 1

Location 12320 Freeway DrMount Vernon, WA 98273-5445 · Phone (360) 814-6840 · Fax (360) 814-6925

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.

Pharmacy (Clinic Pharmacy)
4111 194TH ST SW, SUITE 300
LYNNWOOD, WA 98036
Dentist
4111 194TH ST SW
LYNNWOOD, WA 98036
Dentist
4111 194TH ST SW, STE #201
LYNNWOOD, WA 98036
Dentist
4111 194TH ST SW, SUITE 200
LYNNWOOD, WA 98036
Physician Assistant
4111 194TH ST SW
LYNNWOOD, WA 98036
Nurse Practitioner (Community Health)
4111 194TH ST SW
LYNNWOOD, WA 98036
Nurse Practitioner (Family)
4111 194TH ST SW
LYNNWOOD, WA 98036
Dentist (General Practice)
4111 194TH ST SW
LYNNWOOD, WA 98036

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 Jacqueline Diercks's NPI number?

The NPI number for Jacqueline Diercks is 1770878076. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Jacqueline Diercks located?

Jacqueline Diercks practices at 4111 194th St SW, Lynnwood, WA 98036. The listed phone number is (425) 835-5202.

What is Jacqueline Diercks'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 Jacqueline Diercks was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.