Individual provider Active NPI

Michael Joseph Stamper, PHARMD

  • Pharmacist
  • Pullman, WA
National Provider Identifier
1609150770
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60153165 Issued in WA
Practice address
2560 NE Hopkins CT
Pullman, WA 99163-5622
Phone
(509) 338-3800
Fax
(509) 339-2702
NPI assigned
Oct 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60153165 WA Primary

Addresses

Primary practice location

2560 NE Hopkins CT
Pullman, WA 99163-5622

Mailing address

2560 NE Hopkins CT
Pullman, WA 99163-5622
Phone (509) 338-3800

Other practice location 1

338 6th St
Lewiston, ID 83501
Phone (208) 848-8300

Other practice location 2

700 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Phone (907) 543-6300

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

LicenseStateTypeSpecialty
PH60153165WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Schweitzer Engineering Laboratories CurrentSince Apr 21, 2024 Accepting new patients
Schweitzer Engineering Laboratories Current Accepting new patients

Locations

2350 NE Hopkins Ct
Pullman, WA 99163

2560 NE Hopkins Ct
Pullman, WA 99163
Phone (509) 338-3800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1609150770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NE HOPKINS CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635622",
            "telephone_number": "509-338-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 NE HOPKINS CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635622",
            "telephone_number": "509-338-3800",
            "fax_number": "509-339-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 6th St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "83501",
            "country_code": "US",
            "telephone_number": "208-848-8300",
            "fax_number": "208-848-8303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Chief Eddie Hoffman Hwy",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "AK",
            "postal_code": "99559",
            "country_code": "US",
            "telephone_number": "907-543-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMPER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60153165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.