Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Mary Widhalm, RPH

Individual provider Pharmacist · NPI 1750653515

Jackie Mary Widhalm, RPH is a Pharmacist in Yakima, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

5801 Summitview Ave
Yakima, WA 98908-3006
Phone: (509) 965-6393
Fax: (509) 965-5966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00015720 (WA)

Record details

NPI number1750653515
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedFebruary 8, 2012
Last updated in NPPESFebruary 8, 2012

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