Individual provider Active NPI

Meridan Kimball Pickett

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sequim, WA
National Provider Identifier
1891341715
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PH60962956 Issued in WA
Practice address
990 E Washington St BLDG B
Sequim, WA 98382-3517
Phone
(360) 683-1156
NPI assigned
Aug 15, 2019
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60962956 WA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH60962956 WA Primary

Addresses

Primary practice location

990 E Washington St BLDG B
Sequim, WA 98382-3517

Mailing address

990 E Washington St BLDG B
Sequim, WA 98382-3517
Phone (360) 683-1156

Other practice location 1

1032 E 4th St
Port Angeles, WA 98362-4111
Phone (360) 292-3650

Other identifiers 1

IdentifierTypeStateIssuer
PH60962956OtherWAPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
PH60962956WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1891341715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 E WASHINGTON ST BLDG B",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823517",
            "telephone_number": "360-683-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 E WASHINGTON ST BLDG B",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823517",
            "telephone_number": "360-683-1156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983624111",
            "country_code": "US",
            "telephone_number": "360-292-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "MERIDAN",
        "middle_name": "KIMBALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60962956",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60962956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PH60962956",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.