Active NPI
Richard M Thurman, R.PH., M.B.A.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Burlington, WA
National Provider Identifier
1265589782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH00010173
- Practice address
- 920 S Burlington Blvd
Burlington, WA 98233-3310 - Phone
- (360) 757-9133
- Fax
- (360) 757-9127
- NPI assigned
- Jan 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00010173 | WA | Primary |
| Pharmacist | 183500000X | PH000010173 | WA |
Addresses
Primary practice location
920 S Burlington Blvd
Burlington, WA 98233-3310
Mailing address
920 S Burlington Blvd
Burlington, WA 98233-3310
Phone (360) 757-9133
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH000010173 | WA | MD | Pharmacist |
| PH00010173 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc | Past | Accepting new patients | |
| Fred Meyer Stores Inc. | 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
- Burlington, WA
- NPI 1669408878
-
- Community/Retail Pharmacy
- Lynnwood, WA
- NPI 1558235762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1265589782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333310",
"telephone_number": "360-757-9133",
"fax_number": "360-757-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S BURLINGTON BLVD",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333310",
"telephone_number": "360-757-9133",
"fax_number": "360-757-9127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "R.PH., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00010173",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH000010173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.