KIRKS PHARMACY AT HARTLAND, INC. (NPI# 1396973004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396973004 |
| Entity Type | Organization |
| Organization Name | KIRKS PHARMACY AT HARTLAND, INC. |
| Other Organization Name | KIRK'S PHARMACY PUYALLUP |
| Practice Address |
618 S Meridian Puyallup WA 98371-5999 |
| Practice Telephone | 2538482011 |
| Practice Fax Number | 2538483119 |
| Mailing Telephone | 2538482011 |
| Mailing Fax Number | 2538483119 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | MR. KIRK HEINZ (CO-OWNER) |
| Authorized Official Telephone | 3608323121 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2001664 | 05 | |
| PK | 2121348 | 01 |
| Other Name | Type Code |
|---|---|
| Kirk's Pharmacy and Compounding | Doing Business As Name - Organization |
| Kirk's Pharmacy at Puyallup | Other Name - Individual/Organization |
| Kirk's Pharmacy Puyallup | Other Name - Individual/Organization |
| Kirks Pharmacy at Puyallup | Doing Business As Name - Organization |
| Street Address |
618 S MERIDIAN |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371-5999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598023863 | Dayl Eccles | Pharmacist | 618 S Meridian, Puyallup, WA 98371-5999 | 2012-04-24 |
| 1376859801 | Andrew Kelly Heinz | Pharmacist | 618 S Meridian, Puyallup, WA 98371-5999 | 2010-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| 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 |
|---|---|---|---|---|
| 1386689818 | Fred Meyer Stores Inc | Pharmacy | 1100 N Meridian, Puyallup, WA 98371-4403 | 2006-06-18 |
| 1437152238 | Summit Trading Co Inc | Pharmacy | 10409 Canyon Rd E, Puyallup, WA 98373-4252 | 2005-05-24 |
| 1871105833 | Rebecca Danbe Kim | Pharmacy | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-08-20 |
| 1841520061 | Franciscan Health System | Pharmacy | 15214 Canyon Rd E, Suite 110, Puyallup, WA 98375-7472 | 2010-01-11 |
| 1912017559 | Costco Wholesale Corporation | Pharmacy | 1201 39th Ave Sw, Puyallup, WA 98373 | 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.