Individual provider Active NPI

Stephen Wayne Mealey, PHARMD

  • Pharmacist
  • Spokane, WA
National Provider Identifier
1912680182
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61448405 Issued in WA
Practice address
1708 W Northwest Blvd
Spokane, WA 99205-3600
Phone
(509) 323-0309
NPI assigned
Aug 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61448405 WA Primary

Addresses

Primary practice location

1708 W Northwest Blvd
Spokane, WA 99205-3600

Mailing address

1708 W Northwest Blvd # 99205
Spokane, WA 99205-3600
Phone (509) 323-0309

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
PH61448405WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Aug 27, 2023 Accepting new patients
Walgreen Co PastSince Aug 27, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1912680182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W NORTHWEST BLVD # 99205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992053600",
            "telephone_number": "509-323-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W NORTHWEST BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992053600",
            "telephone_number": "509-323-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEALEY",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61448405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.