Thomas Andrew Sticht, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

151824-1701 Issued in UT

Practice address

29 Nespelem/Sanpoil St
Nespelem, WA 99155-0071

Phone

(509) 634-2900

Fax

(509) 634-2945

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538259072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NESPELEM/SANPOIL ST",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550071",
            "telephone_number": "509-634-2900",
            "fax_number": "509-634-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NESPELEM/SANPOIL ST",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550071",
            "telephone_number": "509-634-2900",
            "fax_number": "509-634-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICHT",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "151824-1701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100100",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Nespelem, WA
• Providers in Nespelem, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.