Active NPI
Barbara Jean Thelen, PHARMD04
- Pharmacist
- Coupeville, WA
National Provider Identifier
1265574792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009066
- Practice address
- 101 N Main St
Coupeville, WA 98239-3413 - Phone
- (360) 678-7656
- Fax
- (360) 678-7630
- NPI assigned
- Feb 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00009066 | WA | Primary |
Addresses
Primary practice location
101 N Main St
Coupeville, WA 98239-3413
Mailing address
1401 SE Dock St
#101
Oak Harbor, WA 98277-4045
Phone (360) 679-8499
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009066 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265574792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SE DOCK ST",
"address_2": "#101",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982774045",
"telephone_number": "360-679-8499",
"fax_number": "360-679-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N MAIN ST",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982393413",
"telephone_number": "360-678-7656",
"fax_number": "360-678-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THELEN",
"first_name": "BARBARA",
"middle_name": "JEAN",
"credential": "PHARMD04",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coupeville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.