SAMY'S DRUG STORE INC. (NPI# 1396187613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396187613 |
| Entity Type | Organization |
| Organization Name | SAMY'S DRUG STORE INC. |
| Other Organization Name | SAMY'S DRUG STORE |
| Practice Address |
3525 Ensign Rd Ne Suite H Olympia WA 98506-5065 |
| Practice Telephone | 3605849053 |
| Practice Fax Number | 3608788179 |
| Mailing Telephone | 3605849053 |
| Mailing Fax Number | 3608788179 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2019-03-02 |
| Authorized Official Name | SUNIL DULLA (PHARMACIST) |
| Authorized Official Telephone | 3605849053 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.60392660 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2033860 | 05 |
| Other Name | Type Code |
|---|---|
| Samy's Drug Store | Doing Business As Name - Organization |
| Street Address |
3525 ENSIGN RD NE SUITE H |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340970 | Olympia Radiologists, P.s. | Radiology | 3525 Ensign Rd Ne, Suite B, Olympia, WA 98506-5065 | 2005-07-15 |
| 1770950669 | Theresa Erin Duggan | Nurse Practitioner | 3525 Ensign Rd Ne, Olympia, WA 98506-5065 | 2015-08-26 |
| 1801283841 | James Simmons | Nurse Practitioner | 3525 Ensign Rd Ne, Suite E, Olympia, WA 98506-5065 | 2015-04-16 |
| 1417354960 | Allison Elise Hamza | Physician Assistant | 3525 Ensign Rd Ne, Suite N, Olympia, WA 98506-5065 | 2014-11-28 |
| 1306248927 | Andrea Simmons | Nurse Practitioner | 3525 Ensign Rd Ne, Ste B, Olympia, WA 98506-5065 | 2014-09-26 |
| 1417388182 | Cynthia Marie Mosebach | Nurse Practitioner | 3525 Ensign Rd Ne, Olympia, WA 98506-5065 | 2013-12-06 |
| 1700216223 | Northwest Asthma Allergy Center | Specialist | 3525 Ensign Rd Ne, Suite E, Olympia, WA 98506-5065 | 2013-11-19 |
| 1184052128 | Stefanie Denney | Hearing Instrument Specialist | 3525 Ensign Rd Ne, M-1, Olympia, WA 98506-5065 | 2013-10-30 |
| 1750675609 | Niranjan Sivakumar | Internal Medicine | 3525 Ensign Rd Ne, Suite K, Olympia, WA 98506-5065 | 2011-06-07 |
| 1184859118 | Haley Sanders | Specialist | 3525 Ensign Rd Ne, Ste N, Olympia, WA 98506-5065 | 2009-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
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| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1528134707 | Mark It Pharmacy Inc | Pharmacy | 3525 Ensign Road Ne, Olympia, WA 98506 | 2006-11-28 |
| 1740202431 | Washington Cvs Pharmacy LLC | Pharmacy | 2925 Harrison Ave Nw, Olympia, WA 98502-2566 | 2006-07-24 |
| 1245263581 | Haggen Inc | Pharmacy | 1313 Cooper Point Rd Sw, Olympia, WA 98502-5729 | 2006-07-09 |
| 1154377786 | Haggen Opco North LLC | Pharmacy | 3520 Pacific Ave Se, Olympia, WA 98501-2121 | 2006-05-25 |
| 1114113602 | Sea Mar Community Health Centers | Pharmacy | 3030 Limited Ln Nw, Olympia, WA 98502-2704 | 2007-09-19 |
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| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
| 1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
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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.