Renee Virginia Thelen, PHARMACY TECH

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

VA00066731 Issued in WA

Practice address

1115 13TH St
Snohomish, WA 98290-2012

Phone

(360) 568-0548

Fax

(360) 568-5151

NPI assigned

Nov 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1962683540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 13TH ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902012",
            "telephone_number": "360-568-0548",
            "fax_number": "360-568-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 13TH ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902012",
            "telephone_number": "360-568-0548",
            "fax_number": "360-568-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "RENEE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "PHARMACY TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "WA",
            "license": "VA00066731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tejera Physical Therapy, LLC
• Thanh K Thai, PHARMD
• The Bartell Drug Co
• The Chec Center LLC
• The Snohomish Naturopathic Clinic, PLLC
• April H Thomas, RNFA
• Hannah K Thompson, PA
• Kristy Marie Thompson, DO
• Sylvia Ann Thompson, RN, CPED
• Ashley Thor Tanner, DO

• All providers in Snohomish, WA
• Other Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.