Active NPI
Cale Flesher
- Pharmacist
- Gig Harbor, WA
National Provider Identifier
1881033736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60786946
- Practice address
- 4840 Borgen Blvd
Gig Harbor, WA 98332-5223 - Phone
- (253) 853-9340
- NPI assigned
- Jun 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | PI-0011446 | OR | |
| Pharmacist | 183500000X | 60786946 | WA | Primary |
Addresses
Primary practice location
4840 Borgen Blvd
Gig Harbor, WA 98332-5223
Mailing address
9817 76TH St SW
Lakewood, WA 98498
Phone (541) 786-4924
Other practice location 1
530 NW 27th St
Corvallis, OR 97330-5223
Phone (541) 766-6835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60786946 | Other | WA | PHARMACIST LICENSE WASHINGTON STATE DEPARTMENT OF HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60786946 | WA | MD | Pharmacist |
| PI-0011446 | OR | MD | Federally Qualified Health Center (FQHC) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Gig Harbor, WA
- NPI 1881822823
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1881033736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9817 76TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "98498",
"telephone_number": "541-786-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 BORGEN BLVD",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325223",
"telephone_number": "253-853-9340"
}
],
"practiceLocations": [
{
"address_1": "530 NW 27th St",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973305223",
"country_code": "US",
"telephone_number": "541-766-6835",
"fax_number": "541-766-6186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLESHER",
"first_name": "CALE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-24",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "OR",
"license": "PI-0011446",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60786946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "60786946",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.