WASHINGTON CVS PHARMACY LLC (NPI# 1477564698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477564698 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16123 |
| Practice Address |
3320 S 23rd St Tacoma WA 98405-1603 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2534140303 |
| Practice Fax Number | 2534140303 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-12-13 |
| 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.60617490 | WA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2110967 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16123 | 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 |
3320 S 23RD ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235112095 | Richard John Berte Ferrer | Pharmacist | 3320 S 23rd St, Tacoma, WA 98405-1603 | 2005-11-25 |
| 1447775275 | Andrew Henderson | Pharmacist | 3320 S 23rd St, Tacoma, WA 98405-1603 | 2017-08-14 |
| 1487179651 | Debra Lee Campbell | Pharmacist | 3320 S 23rd St, Tacoma, WA 98405-1603 | 2017-08-09 |
| 1003217381 | Lauren Elisabeth Fee | Pharmacist | 3320 S 23rd St, Tacoma, WA 98405-1603 | 2014-09-05 |
| 1134406689 | Makanani Hirayama | Pharmacist | 3320 S 23rd St, T-0341, Tacoma, WA 98405-1603 | 2011-11-11 |
| 1659650661 | Amanda Y Yu | Pharmacist | 3320 S 23rd St, T0341, Tacoma, WA 98405-1603 | 2011-08-08 |
| 1144517665 | Jay E Frederick | Pharmacist | 3320 S 23rd St, Tacoma, WA 98405-1603 | 2011-07-05 |
| 1295022093 | Louise A Callihan | Pharmacist | 3320 S 23rd St, T-0341, Tacoma, WA 98405-1603 | 2011-06-30 |
| 1154618015 | Keiko H Vier | Pharmacist | 3320 S 23rd St, T0341, Tacoma, WA 98405-1603 | 2011-06-29 |
| 1578613261 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3320 S 23rd St, Tacoma, WA 98405-1603 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1366968315 | Genoa Healthcare, LLC | Pharmacy | 1305 Tacoma Ave S Ste 205, Tacoma, WA 98402-1903 | 2017-08-21 |
| 1104257666 | Lakewood Pharmacy Inc | Pharmacy | 1902 96th St S Ste A, Tacoma, WA 98444-2808 | 2013-12-10 |
| 1467594978 | Saars Inc | Pharmacy | 13322 Pacific Ave S, Tacoma, WA 98444-4864 | 2007-02-12 |
| 1306958228 | Costless Pharmacy LLC | Pharmacy | 5431 Pacific Ave, Tacoma, WA 98408 | 2006-08-31 |
| 1306851936 | Tacoma Pharmacy Co | Pharmacy | 750 S 38th St, Ste C, Tacoma, WA 98418-6753 | 2006-07-30 |
| 1124059258 | Kmart of Washington LLC | Pharmacy | 1414 72nd St E, Tacoma, WA 98404-3307 | 2006-07-06 |
| 1033151865 | Longs Drug Stores California Inc | Pharmacy | 7901 S Hosmer St, Tacoma, WA 98408-1101 | 2006-06-13 |
| 1659327575 | Albertsons LLC | Pharmacy | 104 Military Rd S, Tacoma, WA 98444-6927 | 2006-05-25 |
| 1033112883 | Cost Plus Prescriptions, Inc. | Pharmacy | 204 N I St, Tacoma, WA 98403-1926 | 2005-05-24 |
| 1710359344 | Multicare Health System | Pharmacy | 311 S L St, Ms: 311-1-rx, Tacoma, WA 98405-3720 | 2015-10-22 |
| Find all providers in TACOMA | ||||
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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.