HOLLY PARK PHARMACY (NPI# 1508990631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508990631 |
| Entity Type | Organization |
| Organization Name | HOLLY PARK PHARMACY |
| Practice Address |
3815 S Othello St Fl 2 Seattle WA 98118-3510 |
| Practice Telephone | 2067883563 |
| Practice Fax Number | 2067882369 |
| Mailing Telephone | 2067883563 |
| Mailing Fax Number | 2067882369 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | DR. JON SONODA (PHARMACY MANAGER) |
| Authorized Official Telephone | 2067883737 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00058776 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6029540 | 05 |
| Street Address |
3815 S OTHELLO ST FL 2 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98118-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629063664 | Gary L. Rea | Neurological Surgery | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2005-09-15 |
| 1992330625 | Maribeth Mate Abedi | Registered Nurse | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2020-03-03 |
| 1144861519 | Paul Nguyen | Pharmacist | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2019-10-07 |
| 1336708304 | Tuyen Vo | Registered Nurse | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2019-06-12 |
| 1114452745 | Ling Wang | Registered Nurse | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2017-04-20 |
| 1891128633 | Quyen Chiem | Pharmacist | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2013-08-15 |
| 1184944779 | Shirley N Hutchison | Dietitian, Registered | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2010-06-04 |
| 1346414182 | Winnie E Lee | Physician Assistant | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2008-04-14 |
| 1053596718 | Helen Louie | Pharmacist | 3815 S Othello St Fl 2, Seattle, WA 98118-3510 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1992287650 | Valentina Komarova | Massage Therapist | 4321 S Webster St Unit D, Seattle, WA 98118 | 2018-08-29 |
| 1750884672 | Ka Hei Cheuk | Behavior Technician | 3815 S Othello Street, Suite 100 Box 361, Seattle, WA 98118 | 2018-03-16 |
| 1285150904 | Crystal N White | Counselor | 3815 S Othello St Suite 100 #317, Seattle, WA 98118 | 2017-08-15 |
| 1346775327 | Anya Lisha Andre | Student in an Organized Health Care Education/Training Program | 9245 Rainier Avenue South, Seattle, WA 98118 | 2017-04-27 |
| 1710334552 | Emeka Titus Okoye | Durable Medical Equipment & Medical Supplies | 4529 S. Henderson Street, #7, Seattle, WA 98118 | 2016-05-23 |
| 1104202191 | Elizabeth Kittay | Acupuncturist | 5224 Wilson Avenue South, Suite 202, Seattle, WA 98118 | 2015-08-03 |
| 1194129601 | Heather Vargas-lyon | Massage Therapist | 8338 Wolcott Ave S, Seattle, WA 98118 | 2014-10-13 |
| 1487069878 | Tamikia Jones | Massage Therapist | 9260 57th Ave S, Seattle, WA 98118 | 2014-06-25 |
| Find all providers in zip 98118 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1942776901 | Rachel Sharon Weinbaum Seidman | Pharmacy | 901 Boren Ave Ste 100, Seattle, WA 98104-3508 | 2018-10-17 |
| 1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
| 1235649609 | Genoa Healthcare, LLC | Pharmacy | 4200 Stone Way N, Seattle, WA 98103-7431 | 2017-10-11 |
| 1841720299 | The Bartell Drug Co | Pharmacy | 419 Ne 71st St Ste A, Seattle, WA 98115-5430 | 2017-06-19 |
| 1942747233 | Benchmark Seattle LLC | Pharmacy | 4507 Brooklyn Ave Ne, Seattle, WA 98105-4508 | 2017-01-24 |
| 1073060976 | The Bartell Drug Co | Pharmacy | 5625 22nd Ave Nw, Seattle, WA 98107-3119 | 2016-09-08 |
| Find all providers in SEATTLE | ||||
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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.