WASHINGTON CVS PHARMACY LLC (NPI# 1063992766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063992766 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #11023 |
| Practice Address |
9400 Gravelly Lake Dr Sw Lakewood WA 98499-1512 |
| Mailing Address |
1 Cvs Dr # 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2535841459 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | WA | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
WA | Suppliers | |
| Y | 333600000X | Pharmacy | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #11023 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417481797 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4313 University Way Ne, Seattle, WA 98105 | 2017-04-13 |
| 1902347875 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2438 32nd Ave W, Seattle, WA 98199-3202 | 2017-03-13 |
| 1952847717 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2035 4th Ave, Seattle, WA 98121-2414 | 2017-01-17 |
| 1861858086 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11918 Airport Rd, Everett, WA 98204-5509 | 2016-01-04 |
| 1750751590 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 107 Bellevue Way Se, Bellevue, WA 98004-5021 | 2015-10-06 |
| 1891173985 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 N 45th St, Seattle, WA 98103-6902 | 2015-05-11 |
| 1164716528 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13950 Ne 178th Pl, Woodinville, WA 98072-3523 | 2011-06-02 |
| 1346498797 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10302 156th St E, Puyallup, WA 98374-9321 | 2008-08-28 |
| 1497949382 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 N Landing Way, Renton, WA 98057-5521 | 2007-09-04 |
| 1508050642 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2941 Queensgate Dr, Richland, WA 99352-9101 | 2007-08-31 |
| Street Address |
9400 GRAVELLY LAKE DR SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868011 | Vittoria Wen | Pharmacist | 9400 Gravelly Lake Dr Sw, Lakewood, WA 98499-1512 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| 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 |
|---|---|---|---|---|
| 1073914388 | Capital Rx LLC | Pharmacy | 1985 Swarthmore Ave, Lakewood, NJ 08701-4554 | 2014-09-07 |
| 1053628115 | Usp Belmar Inc | Pharmacy | 8015 W Alameda Ave Ste 100, Ste 100, Lakewood, CO 80226-3075 | 2010-09-09 |
| 1710126453 | Giant Turtle Pllc | Pharmacy | 11228 Bridgeport Way Sw, Lakewood, WA 98499-3003 | 2009-02-19 |
| 1902948623 | Emes Pharmacy LLC | Pharmacy | 258 Cedar Bridge Ave., Lakewood, NJ 08701 | 2007-02-12 |
| 1043374937 | Pharmacy Center Inc Dba Kings Pharmacy | Pharmacy | 251 2nd St, Lakewood, NJ 08701-3343 | 2006-12-22 |
| 1861574642 | Jefferson Center for Mental Health | Pharmacy | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2006-10-20 |
| 1083716229 | Franciscan Health System | Pharmacy | 11315 Bridgeport Way Sw Ste A1087, Lakewood, WA 98499-3004 | 2006-09-01 |
| 1881609410 | Lakewood Apothecary and Natural Health Center Inc | Pharmacy | 130 Chautauqua Ave, Lakewood, NY 14750-1241 | 2006-07-30 |
| 1659386597 | Marc Glassman Inc | Pharmacy | 14861 Detroit Ave, Lakewood, OH 44107-3909 | 2006-07-29 |
| 1073559167 | Discount Drug Mart Inc | Pharmacy | 13123 Detroit Ave, Lakewood, OH 44107-2839 | 2006-06-20 |
| Find all providers in LAKEWOOD | ||||
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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.