Active NPI
Thomas Archer, PHARMD
- Pharmacist
- Everett, WA
National Provider Identifier
1346508462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00016873
- Practice address
- 12414 48TH Dr SE
Everett, WA 98208-9639 - Phone
- (425) 338-3595
- NPI assigned
- Apr 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00016873 | WA | Primary |
| Pharmacist | 183500000X | RPH 32034 | CA | |
| Pharmacist | 183500000X | 07283 | NV |
Addresses
Primary practice location
12414 48TH Dr SE
Everett, WA 98208-9639
Mailing address
12414 48TH Dr SE
Everett, WA 98208-9639
Phone (425) 338-3595
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 |
|---|---|---|---|
| RPH 32034 | CA | MD | Pharmacist |
| 07283 | NV | MD | Pharmacist |
| PH00016873 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1346508462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12414 48TH DR SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982089639",
"telephone_number": "425-338-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12414 48TH DR SE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982089639",
"telephone_number": "425-338-3595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "THOMAS",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-26",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00016873",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 32034",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "07283",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.