Individual provider Active NPI

Ken Steckler, PHARMD

  • Pharmacist
  • Renton, WA
National Provider Identifier
1215544960
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61066371 Issued in WA
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

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PH61066371WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Bartell Drug Co PastSince Oct 1, 2020 Accepting new patients
The Bartell Drug Co PastSince Oct 1, 2020 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.

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.

Verify at the official NPI Registry.