PROVIDENCE HEALTH & SERVICES-WA (NPI# 1154572543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154572543 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES-WA |
| Other Organization Name | PROVIDENCE REGIONAL MEDICAL CENTER-EVERETT, YOUNGQUIST PHARMACY |
| Practice Address |
3305 Nassau St Suite 101 Everett WA 98201-4140 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 4252597222 |
| Practice Fax Number | 4252597225 |
| Mailing Telephone | 4253165469 |
| Mailing Fax Number | 4253165484 |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | SHERI FEENEY (CFO NWR) |
| Authorized Official Telephone | 4252614044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | CF00056627 | WA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00056627 | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| Providence Regional Medical Center-Everett, Youngquist Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114236791 | Providence Health & Services-wa | Surgery | 1330 Rockefeller Avenue, Suite 400, Everett, WA 98201-1676 | 2010-09-30 |
| 1588294854 | Providence Health & Services-wa | Clinic/Center | 916 Pacific Ave, Everett, WA 98201-4147 | 2020-01-24 |
| 1649615220 | Providence Health & Services-wa | Naturopath | 1321 Colby Ave, Everett, WA 98201-1665 | 2013-05-08 |
| 1215225099 | Providence Health & Services-wa | Midwife | 14692 179th Ave Se, Ste 800, Monroe, WA 98272-1162 | 2011-07-14 |
| 1447547658 | Providence Health & Services-wa | Registered Nurse | 14692 179th Ave Se, Ste 800, Monroe, WA 98272-1162 | 2011-07-08 |
| 1891088845 | Providence Health & Services-wa | Pharmacy | 3305 Nassau St # 101, Everett, WA 98201-4140 | 2011-05-24 |
| 1831499755 | Providence Health & Services-wa | Orthopaedic Surgery | 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 | 2010-10-26 |
| 1972819175 | Providence Health & Services-wa | Registered Nurse | 3305 Nassau St, Everett, WA 98201-4140 | 2010-08-25 |
| 1164747242 | Providence Health & Services-wa | General Practice | 1717 13th Street, Everett, WA 98201-1621 | 2010-04-01 |
| 1346571841 | Providence Health & Services-wa | Nurse Practitioner | 1330 Rockefeller, Suite 200, Everett, WA 98201-1677 | 2010-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Providence Health & Services-Washington | 1801 Lind Ave Sw #9016, Renton, Washington 98057-9016 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw #9016, Renton, WA 98057-3368 |
| Washington State Corporations | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
| Street Address |
3305 NASSAU ST SUITE 101 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134245723 | April Ngoc-han Lam | Pharmacist | 3305 Nassau St, Everett, WA 98201-4140 | 2007-03-22 |
| 1477116697 | Pain Care Physicians Pllc | Pain Medicine | 3305 Nassau St, Everett, WA 98201-4140 | 2019-04-15 |
| 1811445968 | Apex Surgeons, Ps | Orthopaedic Surgery | 3305 Nassau St, Everett, WA 98201-4140 | 2016-09-19 |
| 1215350814 | Washington Center for Pain Management LLC | Anesthesiology | 3305 Nassau St, Everett, WA 98201-4140 | 2014-02-03 |
| 1174890552 | Nathan Cortner | Pharmacist | 3305 Nassau St, Everett, WA 98201-4140 | 2011-11-29 |
| 1902184724 | Washington Center for Pain Management LLC | Anesthesiology | 3305 Nassau St, Everett, WA 98201-4140 | 2011-07-27 |
| 1336432350 | Michael J Mashock | Pharmacist | 3305 Nassau St, Everett, WA 98201-4140 | 2011-05-24 |
| 1649563172 | Rozanne Arline Reynolds | Pharmacist | 3305 Nassau St, Everett, WA 98201-4140 | 2011-05-17 |
| 1851697221 | Trang Van Le | Pharmacist | 3305 Nassau St, Everett, WA 98201-4140 | 2011-02-02 |
| 1972819175 | Providence Health & Services-wa | Registered Nurse | 3305 Nassau St, Everett, WA 98201-4140 | 2010-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245300052 | The Everett Clinic | Pharmacy | 3909 Hoyt Ave, Everett, WA 98201-4918 | 2006-11-09 |
| 1669582201 | Costco Wholesale Corporation | Pharmacy | 10200 19th Ave Se, Everett, WA 98208 | 2006-08-30 |
| 1487669453 | Walgreen Co | Pharmacy | 6807 Evergreen Way, Everett, WA 98203-5145 | 2006-07-29 |
| 1407889744 | Haggen, Inc | Pharmacy | 8915 Market Pl Ste 100, Everett, WA 98205-9914 | 2006-07-09 |
| 1922066414 | Genoa Healthcare, LLC | Pharmacy | 3322 Broadway Ste 230, Everett, WA 98201-4425 | 2006-05-03 |
| 1336665686 | Walgreen Co | Pharmacy | 405 Broadway, Everett, MA 02149-3435 | 2017-08-18 |
| 1891088845 | Providence Health & Services-wa | Pharmacy | 3305 Nassau St # 101, Everett, WA 98201-4140 | 2011-05-24 |
| 1639225899 | Prescription Shoppe Inc | Pharmacy | 378 Broadway, Everett, MA 02149-3426 | 2007-01-28 |
| 1316013568 | Lowers Pharmacy Inc | Pharmacy | 33 E Main St, Everett, PA 15537-1257 | 2006-11-28 |
| 1700967791 | Everett Pharmacy Inc. | Pharmacy | 108 E Main St, Everett, PA 15537-1258 | 2006-10-18 |
| Find all providers in EVERETT | ||||
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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.