DEPARTMENT OF SOCIAL (NPI# 1760787097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760787097 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF SOCIAL |
| Other Organization Name | WESTERN STATE HOSPITAL PHARMACY |
| Practice Address |
9601 Stellacoom Blvd Sw Tacoma WA 98498 |
| Mailing Address |
9601 Steilacoom Blvd Sw Tacoma WA 98498 |
| Practice Telephone | 2537562521 |
| Practice Fax Number | 2537562707 |
| Mailing Telephone | 2537562521 |
| Mailing Fax Number | 2537562707 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | STEPHANIE SKINNER (PHYSICIAN CREDENTIAL MANAGER) |
| Authorized Official Telephone | 2537563966 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN STATE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Western State Hospital Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295080 | Department of Social | Psychiatric Hospital | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2006-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF SOCIAL AND EMPLOYMENT | 1000 S Main St Ste 216, Salinas, CA 93901-2390 |
| System for Award Management (SAM) Entities | DEPARTMENT OF SOCIAL SERVICES | 700 E Yosemite Ave, Madera, CA 93638-3359 |
| Street Address |
9601 STELLACOOM BLVD SW |
| City | TACOMA |
| State | WA |
| Zip Code | 98498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045114 | James Ngigi Wachira | Social Worker | 7409 Coral Ln Sw, Lakewood, WA 98498 | 2019-07-16 |
| 1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
| 1528595212 | Palak Dweepkumar Shah | Physical Therapist | 10401 116th St Ct Sw, Apt K, Lakewood, WA 98498 | 2017-05-12 |
| 1821546946 | Epc General Contracting Services LLC | Home Health | 7423 Onyx Dr Sw, Lakewood, WA 98498 | 2016-09-18 |
| 1700212149 | Laverna Holwill Spain | Counselor | 8404 83rd Ave Sw Ste F, Lakewood, WA 98498 | 2013-09-17 |
| 1730321043 | James David Eshelman | Dentist | 8817-69th St. Ct. S.w., Lakewood, WA 98498 | 2009-04-01 |
| 1235393422 | Risa Leanne Salters | Social Worker | Western State Hospital 9601 Steilacoom Blvd. Sw, Lakewood, WA 98498 | 2008-07-16 |
| 1750596243 | Ruth Anne Hickey | Counselor | 12700 Gravelly Lake Dr Sw, Lakewood, WA 98498 | 2007-05-10 |
| 1982818803 | Linda J Leblanc | Nurse Practitioner | 10814 Deepwood Dr Sw, Lakewood, WA 98498 | 2007-05-09 |
| 1306059787 | William Blanchet | Durable Medical Equipment & Medical Supplies | 12610 Lakecity Blvd Sw, Lakewood, WA 98498 | 2007-05-08 |
| Find all providers in zip 98498 | ||||
| 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.