Individual provider Active NPI

Wendy Nelcene Kuppler, PHARMACY TECH A

  • Pharmacy Technician
  • Lynnwood, WA
National Provider Identifier
1508023672
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
VA00041306 Issued in WA
Practice address
20516 54TH Ave W
Lynnwood, WA 98036-7620
Phone
(425) 776-3923
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X VA00041306 WA Primary

Addresses

Primary practice location

20516 54TH Ave W
Lynnwood, WA 98036-7620

Mailing address

20516 54TH Ave W
Lynnwood, WA 98036-7620
Phone (425) 776-3923

Other names 1

  • Miss Wendy Nelcene Thomas Former name

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
VA00041306WAMDPharmacy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1508023672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20516 54TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367620",
            "telephone_number": "425-776-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20516 54TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367620",
            "telephone_number": "425-776-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPLER",
        "first_name": "WENDY",
        "middle_name": "NELCENE",
        "name_prefix": "Ms.",
        "credential": "PHARMACY TECH A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00041306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "THOMAS",
            "middle_name": "NELCENE",
            "prefix": "MISS",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.