What is Thayne Vickstrom's NPI number?

Thayne Vickstrom's National Provider Identifier (NPI) is 1265705768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Thayne Vickstrom's specialty?

Thayne Vickstrom is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Thayne Vickstrom located?

Thayne Vickstrom's practice location on file with NPPES is 1555 Sw 53rd St, Corvallis, OR 97333-2630.

What is Thayne Vickstrom's phone number?

The practice phone number listed in the NPPES registry for Thayne Vickstrom is (541) 758-3392.

Is Thayne Vickstrom's NPI active?

Yes — Thayne Vickstrom's NPI (1265705768) is active in the NPPES registry as of the last update on 2012-02-14.

IndividualActive

Thayne Vickstrom

NPI 1265705768 · Pharmacist · Corvallis, OR

Thayne Vickstrom is a Pharmacist provider in Corvallis, OR (NPI 1265705768).

Provider details

NPI number: 1265705768
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: 9544 (OR)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 9544 (OR)
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

1555 Sw 53rd St

Corvallis, OR 97333-2630

Phone: (541) 758-3392

Fax: (541) 758-4159

Street-level locationGet directions

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Mailing address