MEDICAL CENTER PHARMACY ASSOCIATES, INC. (NPI# 1609375898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609375898 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER PHARMACY ASSOCIATES, INC. |
| Other Organization Name | MEDICAL CENTER PHARMACY |
| Practice Address |
450 Nw Gilman Blvd Ste 107 Issaquah WA 98027-2483 |
| Mailing Address |
81 Clay St Apt 721 Seattle WA 98121-4123 |
| Practice Telephone | 4253928650 |
| Mailing Telephone | 2069799015 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | BRYAN LAI (PRESIDENT) |
| Authorized Official Telephone | 2069799015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHAR.CF.60812480 | WA | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHAR.CF.60812480 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PHARMACY LICENSE NUMBER | PHAR.CF.60812480 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Center Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEDICAL CENTER PHARMACY ASSOCIATES, INC. | 450 Nw Gilman Blvd Ste 107, Issaquah, WA 98027-2483 |
| Street Address |
450 NW GILMAN BLVD STE 107 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| 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 | ||||
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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.