Individual provider Active NPI

Staci Lynette Ogden

  • Pharmacist
  • Centralia, WA
National Provider Identifier
1497648745
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00051099 Issued in WA
Practice address
20403 Old Highway 9 SW
Centralia, WA 98531-7915
Phone
(360) 664-3400
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00051099 WA Primary

Addresses

Primary practice location

20403 Old Highway 9 SW
Centralia, WA 98531-7915

Mailing address

1295 Ferrier Rd
Winlock, WA 98596-9330
Phone (360) 703-1328

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

LicenseStateTypeSpecialty
PH00051099WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Doc Pharmacy Services CurrentSince Jun 8, 2025 Accepting new patients

Locations

20403 Old Highway 9 SW
Centralia, WA 98531
Phone (360) 490-1103

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": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1497648745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 FERRIER RD",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969330",
            "telephone_number": "360-703-1328",
            "fax_number": "360-703-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 OLD HIGHWAY 9 SW",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985317915",
            "telephone_number": "360-664-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGDEN",
        "first_name": "STACI",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00051099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.