MCCORMICK MEDICAL DISTRIBUTION, INC. (NPI# 1306878905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306878905 |
| Entity Type | Organization |
| Organization Name | MCCORMICK MEDICAL DISTRIBUTION, INC. |
| Practice Address |
635 Paradise Lane Edmonds WA 98020-4651 |
| Practice Telephone | 4257784421 |
| Practice Fax Number | 4257762433 |
| Mailing Telephone | 4257784421 |
| Mailing Fax Number | 4257762433 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | JONATHAN K MCCORMMICK (PRESIDENT) |
| Authorized Official Telephone | 4257784421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
BL009364 | WA | Ambulatory Health Care Facilities |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
635 PARADISE LANE |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-4651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831544006 | Catherine Ersfeld | Durable Medical Equipment & Medical Supplies | 23015 Edmonds Way Apt A104, Edmonds, WA 98020-5048 | 2016-04-25 |
| 1720419005 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9797 Edmonds Way, Edmonds, WA 98020-5939 | 2013-12-11 |
| 1063714434 | Jrk Pharma Inc | Durable Medical Equipment & Medical Supplies | 21701 76th Ave W Ste 104a, Edmonds, WA 98026-7536 | 2010-11-17 |
| 1568795102 | Jrk Pharma Inc | Durable Medical Equipment & Medical Supplies | 7631 212th St Sw Ste D-100, Edmonds, WA 98026-7565 | 2009-09-15 |
| 1831242924 | Miller's Equipment & Rent-all, Inc. | Durable Medical Equipment & Medical Supplies | 22901 Highway 99, Edmonds, WA 98026-8467 | 2007-01-19 |
| 1194822213 | Convalescent Equipment & Supply Co. Inc. | Durable Medical Equipment & Medical Supplies | 21829 Highway 99, Edmonds, WA 98026-8035 | 2006-09-20 |
| 1376652685 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 22515 Highway 99, Edmonds, WA 98026-8373 | 2006-08-30 |
| 1164447702 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 22828 100th Ave W, Edmonds, WA 98020-5920 | 2006-07-13 |
| 1487690012 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 23632 Highway 99, Edmonds, WA 98026-9211 | 2006-06-21 |
| 1275074544 | The Everett Clinic, Pllc | Durable Medical Equipment & Medical Supplies | 21401 72nd Ave W, Edmonds, WA 98026-7702 | 2017-03-20 |
| Find all providers in EDMONDS | ||||
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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.