NPIMap

Organization Active NPI

Skagit Valley Hospital

  • Pharmacist
  • Mount Vernon, WA
National Provider Identifier
1225158579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
HF00057804 Issued in WA
Legal business name
SKAGIT VALLEY HOSPITAL
Practice address
1415 East Kincaid
Mount Vernon, WA 98274-1376
Phone
(360) 428-2425
Fax
(360) 428-8218
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard M Thurman, RPH MBA
Title
Director of Pharmacy
Phone
(360) 428-8218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X HF00057804 WA Primary

Addresses

Primary practice location

1415 East Kincaid
Mount Vernon, WA 98274-1376

Mailing address

1415 East Kincaid
Mount Vernon, WA 98274-1376
Phone (360) 428-2425

Other identifiers 1

IdentifierTypeStateIssuer
6004600MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Public Hosp District 126 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225158579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 EAST KINCAID",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982741376",
            "telephone_number": "360-428-2425",
            "fax_number": "360-428-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 EAST KINCAID",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982741376",
            "telephone_number": "360-428-2425",
            "fax_number": "360-428-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "360-428-8218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH MBA"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "HF00057804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.