MAXOR NATIONAL PHARMACY SERVICES LLC (NPI# 1407956741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407956741 |
| Entity Type | Organization |
| Organization Name | MAXOR NATIONAL PHARMACY SERVICES LLC |
| Other Organization Name | PACIFIC MEDICAL CENTERS PHARMACY |
| Practice Address |
12910 Totem Lake Blvd Ne Ste 101 Kirkland WA 98034-2901 |
| Mailing Address |
320 S Polk St Ste 800 Amarillo TX 79101-1429 |
| Practice Telephone | 4258145003 |
| Practice Fax Number | 4258145020 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-08-27 |
| Authorized Official Name | ROSS HALSNE (VICE PRESIDENT-PHARMACY CONTRACTING) |
| Authorized Official Telephone | 8062427782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHAR.CF.60657078 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2076671 | 05 | |
| PK | 2108094 | 01 |
| Other Name | Type Code |
|---|---|
| PACIFIC MEDICAL CENTERS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689131625 | Maxor National Pharmacy Services LLC | Pharmacy | 2882 Holly Rd Ste 100, Corpus Christi, TX 78415-4106 | 2019-02-26 |
| 1285142885 | Maxor National Pharmacy Services LLC | Pharmacy | 416 S Tyler St, Amarillo, TX 79101-2346 | 2018-01-17 |
| 1831589761 | Maxor National Pharmacy Services LLC | Pharmacy | 19 Mitchell Fld, Garden City, NY 11530-6720 | 2015-01-30 |
| 1154623205 | Maxor National Pharmacy Services LLC | Pharmacy | 550 6th St, Oakland, CA 94607-3946 | 2010-11-23 |
| 1881794121 | Maxor National Pharmacy Services LLC | Pharmacy | 19 West Rd, Garden City, NY 11530-6720 | 2006-09-25 |
| 1972603215 | Maxor National Pharmacy Services LLC | Pharmacy | 206 Drum Rd, Staten Island, NY 10305-5079 | 2006-09-25 |
| 1053411397 | Maxor National Pharmacy Services LLC | Pharmacy | 504 23rd St, Canyon, TX 79015-4044 | 2006-09-25 |
| 1871693119 | Maxor National Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 216 S Polk St, Amarillo, TX 79101-1407 | 2006-09-25 |
| 1962502203 | Maxor National Pharmacy Services LLC | Pharmacy | 102 Sw 3rd Ave, Amarillo, TX 79101-1443 | 2006-09-25 |
| 1699875930 | Maxor National Pharmacy Services LLC | Pharmacy | 1046b Hercules Ave, Houston, TX 77058-2722 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Maxor National Pharmacy Services LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Street Address |
12910 TOTEM LAKE BLVD NE STE 101 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629019500 | Pacmed Clinics | Clinic/Center | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2006-06-09 |
| 1316486707 | Kimberley Johnson | Pharmacist | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2017-02-17 |
| 1215387345 | Kyle Jordan | Family Medicine | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2016-06-20 |
| 1245613660 | Christina S Chen-milhone | Internal Medicine | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2015-07-02 |
| 1053678649 | Maxor National Pharmacy Services LLC | Pharmacy | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2012-04-19 |
| 1942570593 | Laboratory Corporation of America | Clinical Medical Laboratory | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2012-01-12 |
| 1326347782 | Jana Struckel | Family Medicine | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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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|---|---|---|---|---|
| 1023678240 | Washington Institute for Coagulation | Pharmacy | 921 Terry Ave Ste A, Seattle, WA 98104-1239 | 2019-06-19 |
| 1093274458 | Ksr Health Care LLC | Pharmacy | 507 Stevens Avenue, Suite Aaa, Sultan, WA 98294 | 2019-03-15 |
| 1184171704 | Pharmacy Corporation of America | Pharmacy | 18110 Se 34th St Bldg 2, Vancouver, WA 98683-9440 | 2016-09-01 |
| 1770995722 | Healthpoint | Pharmacy | 13030 Military Rd S Ste 206, Tukwila, WA 98168-3080 | 2014-05-27 |
| 1447678875 | Community Health Center of Snohomish County | Pharmacy | 23300 Highway 99, Edmonds, WA 98026-8744 | 2014-04-02 |
| 1982025128 | Seattle Cancer Care Alliance | Pharmacy | 1560 N 115th St Ste G-16a, Seattle, WA 98133-8414 | 2013-12-13 |
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1326472234 | Lourdes West Pasco Pharmacy | Pharmacy | 7425 Wrigley Dr Ste 104, Pasco, WA 99301-5292 | 2013-08-27 |
| 1386089761 | Unity Care Northwest | Pharmacy | 218 Unity St, Bellingham, WA 98225-4420 | 2013-04-30 |
| 1619205267 | Puget Sound Pharmacy LLC | Pharmacy | 1112 6th Ave Ste 101, Tacoma, WA 98405-4048 | 2009-11-19 |
| 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.