Active NPI
Richelle Kistler, PHARMD
- Pharmacist
- Olympia, WA
National Provider Identifier
1205382504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00039839
- Practice address
- 4840 Journey St SE
Olympia, WA 98513-6779 - Phone
- (360) 491-9770
- Fax
- (360) 486-9556
- NPI assigned
- Aug 28, 2016
- Last updated
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00039839 | WA | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00039839 | WA |
Addresses
Primary practice location
4840 Journey St SE
Olympia, WA 98513-6779
Mailing address
4840 Journey St SE
Olympia, WA 98513-6779
Phone (360) 491-9770
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00039839 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1205382504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 JOURNEY ST SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985136779",
"telephone_number": "360-491-9770",
"fax_number": "360-486-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 JOURNEY ST SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985136779",
"telephone_number": "360-491-9770",
"fax_number": "360-486-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "RICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00039839",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00039839",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.