Jack J Cordova
Jack J Cordova is a healthcare organization registered as Community/Retail Pharmacy in Seattle, WA, holding Type 2 (organization) NPI 1932240892 since 2007. The authorized official on file is Jack Cordova, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1932240892 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jack J Cordova |
| Other name | <Unavail> |
| Practice address | 6111 13TH AVE S, Seattle, WA, 98108 |
| Phone | 2067630288 |
| Fax | 2067681296 |
| Enumeration date | 2007-02-12 |
| Last updated in NPPES | 2009-03-09 |
Authorized official
| Name | Jack Cordova |
|---|---|
| Title | Owner |
| Phone | 2067630288 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | CF00000300 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4906775 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 6030407 | Medicaid | WA | — |
Copy-ready billing details
Provider: Jack J Cordova NPI: 1932240892 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 6111 13TH AVE S, Seattle, WA, 98108
Verify this record
Cross-check NPI 1932240892 against the authoritative CMS record: view Jack J Cordova on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Jack J Cordova?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-03-09.