Ruger Stufflebeam

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH61450836 Issued in WA

Practice address

339 Ferry St
Sedro Woolley, WA 98284-1412

Phone

(360) 853-2003

NPI assigned

Aug 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schaffner Pharmacy Inc

  • Community/Retail Pharmacy
  • Sedro Woolley, WA
  • NPI 1467966457

  Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist

  NPD
• Schaffner Pharmacy Inc

  • Long Term Care Pharmacy
  • Sedro Woolley, WA
  • NPI 1659125797
  NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1205519444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 75TH ST SE UNIT B28",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035565",
            "telephone_number": "360-630-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 FERRY ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841412",
            "telephone_number": "360-853-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUFFLEBEAM",
        "first_name": "RUGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH61450836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Stillwell
• Kelly April Stilwell, MS, CCC-SLP
• Tamara Lyn Stone, LMP, LAMP
• Parr Rumi Stover, RN
• Molly C Straub, LMP
• Troy Stultz, RPH
• Debra Lee Sullivan, RN
• Racahel Sullivan, SUDPT
• Sunrise Services, Inc
• Barbara L Sutton, MOE, RD, CD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.