WASHINGTON CVS PHARMACY LLC (NPI# 1457373144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457373144 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16694 |
| Practice Address |
665 Sleater Kinney Rd Se Lacey WA 98503-1007 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3604868927 |
| Practice Fax Number | 3604868927 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.60617652 | WA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2107313 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16694 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992766 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9400 Gravelly Lake Dr Sw, Lakewood, WA 98499-1512 | 2018-08-21 |
| 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 |
| Street Address |
665 SLEATER KINNEY RD SE |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770139354 | Molly Ann Connor | Pharmacist | 665 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2019-08-10 |
| 1104205582 | Lauren Armijo | Pharmacist | 665 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2015-05-19 |
| 1689961112 | Rebecca Frey | Pharmacist | 665 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2011-07-05 |
| 1417241795 | Briana Sevigny | Pharmacist | 665 Sleater Kinney Rd Se, T-1355, Lacey, WA 98503-1007 | 2011-06-04 |
| 1497807408 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 665 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| 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 |
|---|---|---|---|---|
| 1144245788 | Fred Meyer Stores Inc | Pharmacy | 4775 Whitman Ln Se, Lacey, WA 98513-2245 | 2006-07-13 |
| 1215968342 | Kmart of Washington LLC | Pharmacy | 4141 Martin Way E, Lacey, WA 98516-5351 | 2006-07-06 |
| 1730160433 | Metropolitan Medications LLC | Pharmacy | 5707 Lacey Blvd Se, Suite 103, Lacey, WA 98503-7228 | 2005-11-09 |
| 1508292707 | Hawks Prairie Pharmacy | Pharmacy | 2539 Marvin Rd Ne, Ste E, Lacey, WA 98516-3177 | 2013-09-19 |
| 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.