WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES (NPI# 1740355320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740355320 |
| Entity Type | Organization |
| Organization Name | WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES |
| Other Organization Name | RAINIER SCHOOL PHARMACY |
| Practice Address |
2120 Ryan Rd Buckley WA 98321-9115 |
| Practice Telephone | 3608293415 |
| Practice Fax Number | 3608293076 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | GUY KUESTERMEYER (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 3608293415 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
FL00000713 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 4902664 | 01 |
| Other Name | Type Code |
|---|---|
| Rainier School Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013950393 | Washington State Department of Social and Health Services | Pharmacy | 15230 15th Ave Ne, Shoreline, WA 98155-7130 | 2006-06-14 |
| Street Address |
2120 RYAN RD |
| City | BUCKLEY |
| State | WA |
| Zip Code | 98321-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679650576 | Ebrahim Mirjalili | Dentist | 2120 Ryan Rd, Buckley, WA 98321 | 2006-11-01 |
| 1639770373 | Hye Jin Kim | Nurse Practitioner | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2020-11-07 |
| 1205434701 | Deidre Ann Mance | Nurse Practitioner | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2020-10-15 |
| 1285857136 | Jimmy Dean Chubbuck | Family Medicine | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2007-04-10 |
| 1164547626 | Rainier State School | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2007-03-20 |
| 1710017736 | James Thomas Raugust | Dentist | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2007-03-07 |
| 1528197340 | Sherri Elizabeth Barrett | Physical Medicine & Rehabilitation | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2007-03-05 |
| 1124160148 | Adam John Tabet | Psychiatry & Neurology | 2120 Ryan Rd, Buckley, WA 98321-9115 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308397 | Melanie Tison | Licensed Practical Nurse | 340 White River Park Rd, Buckley, WA 98321 | 2019-10-24 |
| 1164918850 | Desiree Helfrick | Counselor | 117 S Cedar St, Suite 2, Buckley, WA 98321 | 2018-07-05 |
| 1962925206 | Karen Anne Smith | Counselor | 240 A St. N, Buckley, WA 98321 | 2017-07-19 |
| 1992227375 | Clb Pharmaceutical Resources Inc | Public Health or Welfare | 22712 78th St. E, Buckley, WA 98321 | 2017-07-07 |
| 1922547231 | Kathryn Zawislak | Counselor | 117 S Cedar St, Suite 2, Buckley, WA 98321 | 2017-02-20 |
| 1336525443 | Jennifer Cochrane-nicolls | Social Worker | 117 S. Cedar St., Suite 2, Buckley, WA 98321 | 2015-07-31 |
| 1427399013 | Karis Ann Roberts | Occupational Therapy Assistant | 130 S Cottage St, Buckley, WA 98321 | 2013-03-07 |
| 1235495433 | Michael Leigh Beall | Chiropractor | 766 Main St, Buckley, WA 98321 | 2012-04-02 |
| 1720395601 | Jared Stephen Bleasdale | Massage Therapist | 280 C Street, Buckley, WA 98321 | 2010-09-13 |
| 1164630620 | Sandra T Bittner | Massage Therapist | 700 Main St P, Buckley, WA 98321 | 2007-05-18 |
| Find all providers in zip 98321 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1316577869 | Ksr Health Care LLC | Pharmacy | 507 W Stevens Ave Ste Aaa, Sultan, WA 98294-9515 | 2020-01-23 |
| 1730724105 | Silver Lake Pharmacy Inc | Pharmacy | 10315 19th Ave Se Ste 104, Everett, WA 98208-4268 | 2019-11-09 |
| 1437708641 | Ets Consulting LLC | Pharmacy | 6007 244th St Sw Ste A1, Mountlake Terrace, WA 98043-5427 | 2019-09-10 |
| 1891341616 | Nwpa Inc | Pharmacy | 21509 State Route 410 E Ste 4, Bonney Lake, WA 98391-4104 | 2019-08-16 |
| 1669033288 | Suncrest Pharmacy Group, LLC | Pharmacy | 5919f Highway 291, Nine Mile Falls, WA 99026 | 2019-06-25 |
| 1750948956 | Lacey Square Pharmacy Inc | Pharmacy | 6020 Pacific Ave Se Ste C, Lacey, WA 98503-1319 | 2019-05-22 |
| 1306338868 | Manhattan Village Pharmacy Inc. | Pharmacy | 10102 E Knox Ave Ste 400, Spokane Valley, WA 99206-4146 | 2018-05-31 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1891167755 | Think Different | Pharmacy | 31710 50th Ln Sw Apt V201, Federal Way, WA 98023-3747 | 2015-10-30 |
| 1104207372 | Prescription Pharmacy Pllc | Pharmacy | 800 Swift Blvd Ste 140, Richland, WA 99352-3559 | 2015-06-14 |
| 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.