VIRGINIA MASON MEDICAL CENTER (NPI# 1043214596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043214596 |
| Entity Type | Organization |
| Organization Name | VIRGINIA MASON MEDICAL CENTER |
| Other Organization Name | ISSAQUAH PHARMACY |
| Practice Address |
100 Ne Gilman Blvd Issaquah WA 98027-2925 |
| Practice Telephone | 4255578003 |
| Practice Fax Number | 4255578021 |
| Mailing Telephone | 4255578003 |
| Mailing Fax Number | 4255578021 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ROSE WONG (LEAD PHARMACIST) |
| Authorized Official Telephone | 4255578003 |
| Authorized Official Credential | RPH. PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 262010304679 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6012926 | 05 | |
| WA | NCPDP | 4922806 | 01 |
| Other Name | Type Code |
|---|---|
| Issaquah Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130528 | Virginia Mason Medical Center | Clinic/Center | 909 University St Fl 2, Seattle, WA 98101-2772 | 2019-02-15 |
| 1306365184 | Virginia Mason Medical Center | Pharmacy | 5959 Corson Ave S Ste C-1, Seattle, WA 98108-2605 | 2017-09-13 |
| 1972884732 | Virginia Mason Medical Center | Clinic/Center | 1201 Terry Ave., Virginia Mason Medical Center X2-sm, Seattle, WA 98101 | 2011-09-07 |
| 1720073604 | Virginia Mason Medical Center | Skilled Nursing Facility | 2720 E Madison St, Seattle, WA 98112-4739 | 2005-09-15 |
| 1700880291 | Virginia Mason Medical Center | Pharmacy | 1201 Terry Ave, Seattle, WA 98101-2735 | 2005-06-13 |
| 1174527683 | Virginia Mason Medical Center | Pharmacy | 1100 Ninth Ave Ms: C1-po, Seattle, WA 98101 | 2005-06-13 |
| 1174164297 | Virginia Mason Medical Center | Clinic/Center | 925 Seneca St, Ms: H4-carrb, Seattle, WA 98101-2756 | 2019-09-30 |
| 1134511686 | Virginia Mason Medical Center | Durable Medical Equipment & Medical Supplies | 1100 9th Ave, Ms-h10slp, Seattle, WA 98101-2756 | 2015-02-20 |
| 1578902094 | Virginia Mason Medical Center | Durable Medical Equipment & Medical Supplies | 2671 Ne 46th St, Seattle, WA 98105 | 2013-06-18 |
| 1467717579 | Virginia Mason Medical Center | Pharmacy Technician | 1100 9th Ave, Seattle, WA 98101-2756 | 2012-07-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | VIRGINIA MASON MEDICAL CENTER | 1100 9th Ave, C/O Lynne Chafetz Ms Gb-Adm, Seattle, WA 98101-2756 |
| System for Award Management (SAM) Entities | VIRGINIA MASON MEDICAL CENTER | 1100 9th Ave, Seattle, WA 98101-2756 |
| Street Address |
100 NE GILMAN BLVD |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658564 | Anna Hancock | Physician Assistant | 100 Ne Gilman Blvd, Issaquah, WA 98027 | 2016-09-23 |
| 1609252063 | Jeffrey Selbig | Registered Nurse | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2015-08-07 |
| 1548667330 | Olga Klachkovich | Psychiatry & Neurology | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2014-11-23 |
| 1275946519 | Derrick Soong | Pediatrics | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2014-06-04 |
| 1912339276 | Machiko Mcclave | Physical Therapist | 100 Ne Gilman Blvd, Issaquah, WA 98027 | 2013-08-08 |
| 1164714671 | Sara May | Student in an Organized Health Care Education/Training Program | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2011-05-03 |
| 1932342649 | Jessica Lynn Ebberson | Pediatrics | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2009-04-10 |
| 1578723326 | Connie June Chen | Ophthalmology | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2008-06-16 |
| 1023217734 | Alice J. Kim | Internal Medicine | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2007-07-12 |
| 1245448935 | Alvin Ngan | Podiatrist | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245742725 | Juanita Rose Bukenya-lwanga | Pharmacy | 2045 32nd Ave Ne, Issaquah, WA 98029-7349 | 2017-10-24 |
| 1033352141 | The Bartell Drug Co | Pharmacy | 5700 E Lake Sammamish Pkwy Se, Issaquah, WA 98029-8914 | 2009-04-20 |
| 1528083169 | Fred Meyer Stores Inc | Pharmacy | 1540 Nw Gilman Blvd, Issaquah, WA 98027-5309 | 2006-07-13 |
| 1427073063 | Fred Meyer Stores Inc | Pharmacy | 4560 Klahanie Dr Se, Issaquah, WA 98029-5812 | 2006-07-13 |
| 1467498006 | Fred Meyer Stores Inc | Pharmacy | 6100 E Lake Sammamish Pkwy Se, Issaquah, WA 98029-8926 | 2006-06-21 |
| 1528001310 | Longs Drug Stores California Inc | Pharmacy | 735 Nw Gilman Blvd, Issaquah, WA 98027-8941 | 2006-06-13 |
| 1306371935 | Seattle Drugs LLC | Pharmacy | 450 Nw Gilman Blvd, Ste 107, Issaquah, WA 98027-2483 | 2017-04-20 |
| 1801927900 | Sandpoint Clinic Pharmacy Inc | Pharmacy | 450 Nw Gilman Blvd, Ste 107, Issaquah, WA 98027-2483 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515644 | Allison Marie Hill | Pharmacy | 3 Spruce Ln, South Bend, WA 98586-9008 | 2020-07-20 |
| 1518504984 | Petersen Investments, LLC | Pharmacy | 12119 Ne 99th St Ste 2030, Vancouver, WA 98682-2461 | 2019-12-04 |
| 1033755731 | Scriptdash Inc | Pharmacy | 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 | 2019-11-18 |
| 1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
| 1518517101 | The Bartell Drug Co | Pharmacy | 2506 2nd Ave, Seattle, WA 98121-1427 | 2019-09-16 |
| 1457904625 | University of Washington | Pharmacy | 750 Republican St Bldg F, Seattle, WA 98109-4766 | 2019-07-17 |
| 1508348020 | The Bartell Drug Co | Pharmacy | 9010 Market Pl, Lake Stevens, WA 98258-4908 | 2018-08-31 |
| 1144710922 | Healthpoint | Pharmacy | 947 Powell Ave Sw Ste B, Renton, WA 98057-2975 | 2018-05-16 |
| 1093202087 | Sixth Avenue Medical Building Pharmacy | Pharmacy | 508 W 6th Ave Ste 104, Spokane, WA 99204-2701 | 2018-04-16 |
| 1265935795 | The Bartell Drug Co | Pharmacy | 7423 204th St Ne, Arlington, WA 98223-8204 | 2018-03-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.