NORTHWEST PHARMACEUTICAL COMPOUNDING, INC (NPI# 1952674541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952674541 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PHARMACEUTICAL COMPOUNDING, INC |
| Other Organization Name | NORTHWEST PHARMACEUTICAL COMPOUNDING, INC |
| Practice Address |
15021 Main St Ste's A & B Mill Creek WA 98012-1651 |
| Practice Telephone | 4253852400 |
| Practice Fax Number | 4253853969 |
| Mailing Telephone | 4253852400 |
| Mailing Fax Number | 4253853969 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | MICHAEL JONES (OWNER) |
| Authorized Official Telephone | 4253852400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHARCF60129620 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4934368 | 01 |
| Other Name | Type Code |
|---|---|
| NorthWest Pharmaceutical Compounding, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578879144 | Northwest Pharmaceutical Compounding, Inc | Pharmacist | 15407 Main St, Ste 104, Mill Creek, WA 98012-7375 | 2010-08-20 |
| Street Address |
15021 MAIN ST STE'S A & B |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659565257 | Brigit Holland | Chiropractor | 15021 Main St, Suite K, Mill Creek, WA 98012-1651 | 2007-08-28 |
| 1366989444 | Siobhan Ariel Mccomb | Massage Therapist | 15021 Main St, Suite K, Mill Creek, WA 98012-1651 | 2017-01-26 |
| 1952795478 | Danielle Morton | Massage Therapist | 15021 Main St, Suite K, Mill Creek, WA 98012-1651 | 2015-03-23 |
| 1326446915 | Melody Potts | Massage Therapist | 15021 Main St, Suite K, Mill Creek, WA 98012-1651 | 2014-12-12 |
| 1609205640 | Erin E Shelby | Specialist | 15021 Main St, Suite K, Mill Creek, WA 98012-1651 | 2013-11-08 |
| 1861820078 | Alexander Enterprises, LLC | Preferred Provider Organization | 15021 Main St, Suite K, Mill Creek, WA 98012-1651 | 2013-10-24 |
| 1508294034 | Cherina Smithson | Massage Therapist | 15021 Main St, Ste K, Mill Creek, WA 98012-1651 | 2013-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| 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 | MILL CREEK |
| Zip Code | 98012 |
Please comment or provide details below to improve the information on NORTHWEST PHARMACEUTICAL COMPOUNDING, INC.
| 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.