Individual provider Active NPI

Stormie Person, RPH

  • Pharmacist
  • Snohomish, WA
National Provider Identifier
1134497241
Registry record updated Dec 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00010159 Issued in WA
Practice address
17126 70TH St NE
Snohomish, WA 98290-6193
Phone
(360) 691-7673
Fax
(360) 691-7054
NPI assigned
Dec 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00010159 WA Primary

Addresses

Primary practice location

17126 70TH St NE
Snohomish, WA 98290-6193

Mailing address

17126 70TH St NE
Snohomish, WA 98290-6193
Phone (360) 691-7673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH00010159WAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322870400000",
    "number": "1134497241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17126 70TH ST NE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982906193",
            "telephone_number": "360-691-7673",
            "fax_number": "360-691-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17126 70TH ST NE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982906193",
            "telephone_number": "360-691-7673",
            "fax_number": "360-691-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSON",
        "first_name": "STORMIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00010159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.