Organization Active NPI

Samuel K. Stucki

Doing business as Stucki Family Pharmacy

  • Community/Retail Pharmacy
  • Washington, UT
National Provider Identifier
1154735785
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9012398-1703 Issued in UT
Legal business name
SAMUEL K. STUCKI
Doing business as
Stucki Family Pharmacy
Practice address
568 W Telegraph St # 3
Washington, UT 84780-1596
Phone
(435) 627-8848
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Samuel K Stucki, PHARMDNPI 1730279522
Title
Owner
Phone
(435) 313-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9012398-1703 UT
Community/Retail Pharmacy 3336C0003X 9012398-1703 UT Primary
Compounding Pharmacy 3336C0004X 9012398-1703 UT
Medical Foods Supplier 335G00000X 9012398-1703 UT

Addresses

Primary practice location

568 W Telegraph St # 3
Washington, UT 84780-1596

Mailing address

568 W Telegraph St # 3
Washington, UT 84780-1596
Phone (435) 627-8848

Other names 1

  • Stucki Family Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2156324Stucki Family Pharmacy568 W Telegraph St #3, Washington, UT 84780Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory

Locations

568 W Telegraph St
Ste 3
Washington, UT 84780
Phone (435) 313-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1154735785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 W TELEGRAPH ST # 3",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801596",
            "telephone_number": "435-627-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 W TELEGRAPH ST # 3",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801596",
            "telephone_number": "435-627-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL K. STUCKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "STUCKI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-313-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "9012398-1703",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "9012398-1703",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "UT",
            "license": "9012398-1703",
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "UT",
            "license": "9012398-1703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stucki Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.