Individual provider Active NPI

Norm Skurdal, RPH

  • Pharmacist
  • Oak Harbor, WA
National Provider Identifier
1699100271
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH 00040157 Issued in WA
Practice address
32165 Sr 20
Oak Harbor, WA 98277-3774
Phone
(360) 679-5546
Fax
(360) 679-0403
NPI assigned
Sep 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH 00040157 WA Primary

Addresses

Primary practice location

32165 Sr 20
Oak Harbor, WA 98277-3774

Mailing address

32165 Sr 20
Oak Harbor, WA 98277-3774
Phone (360) 679-5546

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
PH 00040157WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1699100271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32165 SR 20",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773774",
            "telephone_number": "360-679-5546",
            "fax_number": "360-679-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32165 SR 20",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773774",
            "telephone_number": "360-679-5546",
            "fax_number": "360-679-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKURDAL",
        "first_name": "NORM",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 00040157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.