GROUP HEALTH COOPERATIVE (NPI# 1053445809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053445809 |
| Entity Type | Organization |
| Organization Name | GROUP HEALTH COOPERATIVE |
| Other Organization Name | REDMOND MEDICAL CENTER PHARMACY |
| Practice Address |
15809 Bear Creek Parkway Suite 110 Redmond WA 98052-4370 |
| Mailing Address |
12400 E Marginal Way S Tukwila WA 98168-2559 |
| Practice Telephone | 4258826100 |
| Mailing Telephone | 5092417198 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | MS. JENNIFER L WESSELIUS (PHARMACY MANAGER) |
| Authorized Official Telephone | 4258826152 |
| Is Organization Subpart | Y |
| Parent Organization Name | GROUP HEALTH COOPERATIVE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CF60041218 | WA | Suppliers |
| Y | 333600000X | Pharmacy | CF60041218 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NCPDP | 4915762 | 01 |
| WA | WA STATE BOARD OF PHARMACY LICENSE | CF60041218 | 01 |
| WA | L&I | 156111 | 01 |
| WA | DEA | AG6261692 | 01 |
| Other Name | Type Code |
|---|---|
| Redmond Medical Center Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013387729 | Group Health Cooperative | Clinic/Center | 201 16th Ave E, Suite Cmb-2, Seattle, WA 98112-5226 | 2015-10-07 |
| 1114233541 | Group Health Cooperative | Health Maintenance Organization | 555 Pacific Ave, Suite 202, Bremerton, WA 98337-1903 | 2010-08-23 |
| 1376732982 | Group Health Cooperative | Substance Abuse Rehabilitation Facility | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | group health cooperative of south central wisconsin | 1265 John Q. Hammons Drive, Madison, WI 53717 |
| Street Address |
15809 BEAR CREEK PARKWAY SUITE 110 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| 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 |
|---|---|---|---|---|
| 1013455781 | Wholesalers Group Inc. | Pharmacy | 2729 152nd Ave Ne, Redmond, WA 98052-5554 | 2017-02-02 |
| 1932350303 | Pharmaca Integrative Pharmacy | Pharmacy | 15480 Redmond Way, Redmond, WA 98052 | 2008-10-03 |
| 1295809598 | Fred Meyer Stores Inc | Pharmacy | 23475 Ne Novelty Hill Rd, Redmond, WA 98053-5501 | 2006-11-20 |
| 1982794947 | Consonus Pharmacy Services Washington LLC | Pharmacy | 14729 Ne 87th St, Redmond, WA 98052-6500 | 2006-10-13 |
| 1417312752 | Costco Wholesale Corporation | Pharmacy | 7725 188th Ave Ne, Redmond, WA 98052 | 2015-12-30 |
| 1538261920 | The Bartell Drug Co | Pharmacy | 7370 170th Ave Ne, Redmond, WA 98052-4457 | 2006-09-05 |
| 1174633861 | The Bartell Drug Co | Pharmacy | 8862 161st Ave Ne, Redmond, WA 98052 | 2006-08-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.