MAXOR NATIONAL PHARMACY SERVICES LLC (NPI# 1639436728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639436728 |
| Entity Type | Organization |
| Organization Name | MAXOR NATIONAL PHARMACY SERVICES LLC |
| Other Organization Name | PACIFIC MEDICAL CENTERS PHARMACY-CANYON PARK |
| Practice Address |
1909 214th St Se Ste 300 Bothell WA 98021-4418 |
| Mailing Address |
320 S Polk St Ste 800 Amarillo TX 79101-1426 |
| Practice Telephone | 4254126335 |
| Practice Fax Number | 2065312394 |
| Mailing Telephone | 8063245400 |
| Mailing Fax Number | 8063245495 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2020-01-09 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.60657129 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2076640 | 05 | |
| PK | 2134702 | 01 |
| Other Name | Type Code |
|---|---|
| Pacific Medical Centers Pharmacy-Canyon Park | 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 |
1909 214TH ST SE STE 300 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891769071 | John William Knutson | Allergy & Immunology | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2006-02-15 |
| 1215456439 | Julia Nadine Wilson | Physician Assistant | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-09-19 |
| 1932620747 | Johanna Leader | Physical Therapist | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-06-30 |
| 1700315272 | Jimmie Stewart | Family Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-06-08 |
| 1629502653 | Mariana A Frias Garcia | Family Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-04-17 |
| 1386183697 | Pacmed Clinics | Clinic/Center | 1909 214th St Se Ste 300, Bothell, WA 98021 | 2017-02-20 |
| 1467991810 | Shinchul Lee | Pharmacist | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2017-02-17 |
| 1588103451 | Pacmed Clinics | Internal Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021 | 2017-02-13 |
| 1972057966 | Ellen Forslund | Physical Therapist | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2016-08-08 |
| 1689022717 | Adewunmi Nuga | Internal Medicine | 1909 214th St Se Ste 300, Bothell, WA 98021-4418 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| 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] |
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| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
| 1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| 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.