Active NPI
Andrew Thibeault, PHARMD
- Pharmacist
- Shelton, WA
National Provider Identifier
1427555697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60849077
- Practice address
- 512 W Franklin St
Shelton, WA 98584-3517 - Phone
- (360) 426-3327
- Fax
- (360) 427-5223
- NPI assigned
- Apr 12, 2018
- Last updated
- Apr 23, 2026
- 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 | 183500000X | PS54482 | FL | |
| Pharmacist | 183500000X | PH60849077 | WA | Primary |
Addresses
Primary practice location
512 W Franklin St
Shelton, WA 98584-3517
Mailing address
512 W Franklin St
Shelton, WA 98584-3517
Phone (360) 426-3327
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 |
|---|---|---|---|
| PS54482 | FL | MD | Pharmacist |
| PH60849077 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neils Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1427555697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 W FRANKLIN ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "985843517",
"telephone_number": "360-426-3327",
"fax_number": "360-427-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 W FRANKLIN ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "985843517",
"telephone_number": "360-426-3327",
"fax_number": "360-427-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIBEAULT",
"first_name": "ANDREW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-12",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54482",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60849077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, WA
- Telecare Mental Health Services of Washington, Inc (Telecare Shelton Next Steps)
- Telecare Mental Health Services of Washington, Inc (Telecare Shelton E&T)
- Telecare Mental Health Services of Washington, Inc. (Telecare Mason TCAT)
- Terry L Rivett (Medical Supply Solutions)
- The Dental Village of Shelton
- Damani Jevon Thomas
- Linda Joyce Thomas, PSY.D.
- Samantha Lynn Thompson
- Jeremias Thuesen
- Angela L Tobias, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.