MR. JESSE WADE THIBOUTOT PHARM.D.
NPI 1255609707
Pharmacist in Stockton, CA

Active since December 12, 2011
7373 WEST LANE, PHARMACY 1, STOCKTON, CA 95210(209) 476-3242 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jesse Wade Thiboutot Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JESSE WADE THIBOUTOT PHARM.D. (NPI 1255609707) is an individual pharmacist in Stockton, California, licensed in California (RPH53856) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1255609707
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JESSE WADE THIBOUTOTCredential: PHARM.D.
Location Address7373 WEST LANE, PHARMACY 1Stockton, CA 95210
Mailing Address7373 West Ln, Pharmacy 1Stockton, CA 95210-3377 · (209) 476-3242
Sole ProprietorYes
Enumeration DateDecember 12, 2011
NPI 1255609707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · RPH53856
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
7373 WEST LANE, Stockton, CA 95210

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
7373 WEST LANE
STOCKTON, CA 95210
Marriage & Family Therapist
7373 WEST LANE, TOMMYDON BLDG
STOCKTON, CA 95210
Registered Nurse
7373 WEST LANE, KAISER PERMANENTE OUTPATIENT SURGERY
STOCKTON, CA 95210
Nurse Practitioner (Women's Health)
7373 WEST LANE
STOCKTON, CA 95210
Internal Medicine
7373 WEST LANE
STOCKTON, CA 95210
Pharmacist
7373 WEST LANE
STOCKTON, CA 95210
Pharmacist
7373 WEST LANE
STOCKTON, CA 95210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Thiboutot's NPI number?

The NPI number for Jesse Thiboutot is 1255609707. It was assigned to this individual provider in the NPPES registry on December 12, 2011.

Where is Jesse Thiboutot located?

Jesse Thiboutot practices at 7373 West Lane Pharmacy 1, Stockton, CA 95210. The listed phone number is (209) 476-3242.

What is Jesse Thiboutot's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jesse Thiboutot was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.