Individual provider Active NPI

Joel C Wecker, RPH

  • Pharmacist
  • Tacoma, WA
National Provider Identifier
1659690824
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00011130 Issued in WA
Practice address
1912 N Pearl St
Tacoma, WA 98406-2457
Phone
(253) 879-0140
Fax
(253) 879-0273
NPI assigned
May 26, 2010
Last updated
May 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00011130 WA Primary

Addresses

Primary practice location

1912 N Pearl St
Tacoma, WA 98406-2457

Mailing address

1912 N Pearl St
Tacoma, WA 98406-2457
Phone (253) 879-0140

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH00011130WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1659690824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 N PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062457",
            "telephone_number": "253-879-0140",
            "fax_number": "253-879-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 N PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062457",
            "telephone_number": "253-879-0140",
            "fax_number": "253-879-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKER",
        "first_name": "JOEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00011130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.