Active NPI
Ken Steckler, PHARMD
- Pharmacist
- Renton, WA
National Provider Identifier
1215544960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61066371
- Practice address
- 1412 SW 43Rd St Ste 120
Renton, WA 98057-4803 - Phone
- (877) 425-6337
- NPI assigned
- Sep 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61066371 | WA | Primary |
Addresses
Primary practice location
1412 SW 43Rd St Ste 120
Renton, WA 98057-4803
Mailing address
1412 SW 43Rd St Ste 120
Renton, WA 98057-4803
Phone (206) 261-2816
Other practice location 1
21202 24th Ave S Bldg A
Des Moines, WA 98198-4328
Phone (206) 261-2816
Other practice location 2
12946 SE Kent Kangley Rd
Kent, WA 98030-7940
Phone (253) 631-6874
Other practice location 3
21509 State Route 410 E Ste 4
Bonney Lake, WA 98391-4104
Phone (206) 261-2816
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 |
|---|---|---|---|
| PH61066371 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bartell Drug Co | Past | Accepting new patients | |
| The Bartell Drug Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Kent, WA
- NPI 1073621785
-
- Pharmacy
- Seattle, WA
- NPI 1518517101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1215544960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 SW 43RD ST STE 120",
"city": "RENTON",
"state": "WA",
"postal_code": "980574803",
"telephone_number": "206-261-2816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 SW 43RD ST STE 120",
"city": "RENTON",
"state": "WA",
"postal_code": "980574803",
"telephone_number": "877-425-6337"
}
],
"practiceLocations": [
{
"address_1": "21202 24th Ave S Bldg A",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "WA",
"postal_code": "981984328",
"country_code": "US",
"telephone_number": "206-261-2816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12946 SE Kent Kangley Rd",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "WA",
"postal_code": "980307940",
"country_code": "US",
"telephone_number": "253-631-6874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21509 State Route 410 E Ste 4",
"address_purpose": "LOCATION",
"city": "Bonney Lake",
"state": "WA",
"postal_code": "983914104",
"country_code": "US",
"telephone_number": "206-261-2816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STECKLER",
"first_name": "KEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-28",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61066371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.