IndividualActive
Jesse Thiboutot, PHARM.D.
NPI 1255609707 · Pharmacist · Stockton, CA
Jesse Thiboutot, PHARM.D. is a Pharmacist provider in Stockton, CA (NPI 1255609707).
Provider details
- NPI number
- 1255609707
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH53856 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7373 West Lane
Pharmacy 1
Stockton, CA 95210
Phone: (209) 476-3242
Street-level locationGet directions
Mailing address
7373 West Ln
Stockton, CA 95210-3377
Registry dates
- Enumerated
- 2011-12-12
- Last updated
- 2011-12-12
Frequently asked questions
- What is Jesse Thiboutot's NPI number?
- Jesse Thiboutot's National Provider Identifier (NPI) is 1255609707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Thiboutot's specialty?
- Jesse Thiboutot is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jesse Thiboutot located?
- Jesse Thiboutot's practice location on file with NPPES is 7373 West Lane, Stockton, CA 95210.
- What is Jesse Thiboutot's phone number?
- The practice phone number listed in the NPPES registry for Jesse Thiboutot is (209) 476-3242.
- Is Jesse Thiboutot's NPI active?
- Yes — Jesse Thiboutot's NPI (1255609707) is active in the NPPES registry as of the last update on 2011-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.