Active NPI
Stacey M Rivera, PHARMD
- Pharmacist
- Vancouver, WA
National Provider Identifier
1598634917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10838
- Practice address
- 1115 SE 164TH Ave
Vancouver, WA 98683-9324 - Phone
- (503) 367-0402
- NPI assigned
- Nov 3, 2025
- Last updated
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10838 | OR | Primary |
Addresses
Primary practice location
1115 SE 164TH Ave
Vancouver, WA 98683-9324
Mailing address
19730 Spring Ridge Dr
West Linn, OR 97068-4821
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 |
|---|---|---|---|
| 10838 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1598634917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19730 SPRING RIDGE DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "503-367-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "STACEY",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "10838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.