PUGET SOUND DRUG CORPORATION (NPI# 1639214125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639214125 |
| Entity Type | Organization |
| Organization Name | PUGET SOUND DRUG CORPORATION |
| Other Organization Name | KEY COMPOUNDING PHARMACY |
| Practice Address |
530 S 336th St Suite A Federal Way WA 98003-6383 |
| Practice Telephone | 2068783900 |
| Practice Fax Number | 2068781114 |
| Mailing Telephone | 2068783900 |
| Mailing Fax Number | 2068781114 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-05-04 |
| Authorized Official Name | HEE-JOO PARK (PHARMACIST OWNER) |
| Authorized Official Telephone | 2068783900 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHAR.CF.60266278 | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| KEY COMPOUNDING PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083209 | Puget Sound Drug Corporation | Durable Medical Equipment & Medical Supplies | 23422 Pacific Hwy S, Kent, WA 98032-2718 | 2006-09-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PUGET SOUND DRUG CORPORATION | 530 S 336th, Federal Way, WA 98003 |
| Street Address |
530 S 336TH ST SUITE A |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508806696 | Dan Briggs Taggart | Dentist | 530 S 336th St, Suite B, Federal Way, WA 98003-6383 | 2006-06-07 |
| 1255996864 | Kyung Joong Park | Naturopath | 530 S 336th St, Federal Way, WA 98003-6383 | 2019-05-08 |
| 1346715737 | Claire Elise Jones | Massage Therapist | 530 S 336th St, Federal Way, WA 98003-6383 | 2018-10-11 |
| 1235521295 | Malia Paticia Jean Lewis | Specialist | 530 S 336th St, Suite C, Federal Way, WA 98003-6383 | 2015-02-28 |
| 1275947673 | Colleen Quinn | Specialist | 530 S 336th St, Ste C, Federal Way, WA 98003-6383 | 2014-06-13 |
| 1932538386 | Cassandra Ries | Rehabilitation Hospital | 530 S 336th St, Suite C, Federal Way, WA 98003-6383 | 2013-11-06 |
| 1689810764 | Marc Hiro Kosaka | Pharmacist | 530 S 336th St, Federal Way, WA 98003-6383 | 2008-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417581943 | Jike LLC | Pharmacy | 8614 E Mill Plain Blvd Ste 110, Vancouver, WA 98664-2058 | 2020-02-24 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1730500067 | Kelley-ross and Assoc, Inc. | Pharmacy | 805 Madison St # 702, Seattle, WA 98104-1172 | 2014-01-06 |
| 1962779348 | Poulsbo Compounding Pharmacy LLC | Pharmacy | 325 Ne Hostmark Street, Poulsbo, WA 98370 | 2011-11-29 |
| 1114237633 | Poulsbo Compounding Pharmacy LLC | Pharmacy | 325 Ne Hostmark St, Poulsbo, WA 98370-6668 | 2010-10-18 |
| 1750601472 | Sound Apothecaries | Pharmacy | 1851 State Ave Ne Ste 105, Olympia, WA 98506-4601 | 2010-06-03 |
| 1699094417 | Darvic Assoc. Inc. | Pharmacy | 1907 Harrison Ave Nw, Olympia, WA 98502-5118 | 2010-05-18 |
| 1093961146 | Mipa Corp | Pharmacy | 4629 168th St Sw Ste A, Lynnwood, WA 98037-8640 | 2008-08-08 |
| 1578760260 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 1815 N. 45th Street, Suite 110, Seattle, WA 98103 | 2007-06-27 |
| 1528199619 | Don's Pharmacy Inc. | Pharmacy | 1151 Water St, Port Townsend, WA 98368-6707 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
Please comment or provide details below to improve the information on PUGET SOUND DRUG CORPORATION.
| 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.