WASHINGTON CVS PHARMACY LLC (NPI# 1578585261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578585261 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16776 |
| Practice Address |
16200 Se Mill Plain Blvd Vancouver WA 98684-9638 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3604496425 |
| Practice Fax Number | 3604496425 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.60617600 | WA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2107470 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16776 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992766 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9400 Gravelly Lake Dr Sw, Lakewood, WA 98499-1512 | 2018-08-21 |
| 1417481797 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4313 University Way Ne, Seattle, WA 98105 | 2017-04-13 |
| 1902347875 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2438 32nd Ave W, Seattle, WA 98199-3202 | 2017-03-13 |
| 1952847717 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2035 4th Ave, Seattle, WA 98121-2414 | 2017-01-17 |
| 1861858086 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11918 Airport Rd, Everett, WA 98204-5509 | 2016-01-04 |
| 1750751590 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 107 Bellevue Way Se, Bellevue, WA 98004-5021 | 2015-10-06 |
| 1891173985 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 N 45th St, Seattle, WA 98103-6902 | 2015-05-11 |
| 1164716528 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13950 Ne 178th Pl, Woodinville, WA 98072-3523 | 2011-06-02 |
| 1346498797 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10302 156th St E, Puyallup, WA 98374-9321 | 2008-08-28 |
| 1497949382 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 N Landing Way, Renton, WA 98057-5521 | 2007-09-04 |
| Street Address |
16200 SE MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-9638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457791329 | Julia Nguyen | Pharmacist | 16200 Se Mill Plain Blvd, Vancouver, WA 98684-9638 | 2013-06-25 |
| 1336489038 | Michael Thanem | Pharmacist | 16200 Se Mill Plain Blvd, T-1444, Vancouver, WA 98684-9638 | 2013-02-18 |
| 1538418611 | Chelsea Louise Brewster | Pharmacist | 16200 Se Mill Plain Blvd, Vancouver, WA 98684 | 2012-09-05 |
| 1801183868 | Christopher Robert Mellon | Pharmacist | 16200 Se Mill Plain Blvd, T-1444, Vancouver, WA 98684-9638 | 2011-06-28 |
| 1639464548 | Janet K Senning | Pharmacist | 16200 Se Mill Plain Blvd, T-1444, Vancouver, WA 98684-9638 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| 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 |
|---|---|---|---|---|
| 1518504984 | Petersen Investments, LLC | Pharmacy | 12119 Ne 99th St Ste 2030, Vancouver, WA 98682-2461 | 2019-12-04 |
| 1770939019 | Northwest Cancer Specialists PC | Pharmacy | 1498 Se Tech Center Pl Ste 240, Attn: Pharmacy Department, Vancouver, WA 98683-5508 | 2016-05-05 |
| 1346595303 | Pacific Northwest Specialty | Pharmacy | 3801 Main St Ste A, Vancouver, WA 98663-2258 | 2012-07-16 |
| 1376688903 | Vancouver Clinic Inc | Pharmacy | 501 Se 172nd Ave Ste 120, Vancouver, WA 98684-9542 | 2007-02-21 |
| 1689605719 | Kmart of Washington LLC | Pharmacy | 2711 Ne Andresen Rd, Vancouver, WA 98661-7317 | 2006-07-06 |
| 1750317962 | Fred Meyer Stores Inc | Pharmacy | 2500 Columbia House Blvd, Vancouver, WA 98661-7764 | 2006-06-23 |
| 1437194826 | Fred Meyer Stores Inc | Pharmacy | 7411 Ne 117th Ave, Vancouver, WA 98662-4706 | 2006-06-18 |
| 1245286871 | Albertsons LLC | Pharmacy | 5000 E Fourth Plain Blvd, Vancouver, WA 98661-6584 | 2006-05-25 |
| 1376198796 | Wrx Pharmacy, LLC | Pharmacy | 14313 Ne 20th Ave Ste 109, Vancouver, WA 98686-1487 | 2019-08-02 |
| 1639735228 | Pharmacy Corporation of America | Pharmacy | 18110 Se 34th St Ste 270, Vancouver, WA 98683-9440 | 2019-05-20 |
| Find all providers in VANCOUVER | ||||
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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.