WASHINGTON CVS PHARMACY LLC (NPI# 1861858086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861858086 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #10747 |
| Practice Address |
11918 Airport Rd Everett WA 98204-5509 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 4252657687 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-07-01 |
| 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 | WA | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
WA | Suppliers | |
| Y | 333600000X | Pharmacy | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NCPDP | 4937302 | 01 |
| WA | 2059434 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #10747 | 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 |
| 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 |
| 1508050642 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2941 Queensgate Dr, Richland, WA 99352-9101 | 2007-08-31 |
| Street Address |
11918 AIRPORT RD |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681602 | Michael Nguyen | Pharmacist | 11918 Airport Rd, Everett, WA 98204-5509 | 2016-11-01 |
| 1861856627 | Eric Walkenhorst | Pharmacist | 11918 Airport Rd, Everett, WA 98204-5509 | 2016-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| 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 |
|---|---|---|---|---|
| 1588774103 | Costco Wholesale Corporation | Pharmacy | 2 Mystic View Rd, Everett, MA 02149 | 2006-08-30 |
| 1831135813 | The Bartell Drug Co | Pharmacy | 5006 132nd St Se Ste A, Everett, WA 98208-9517 | 2006-06-20 |
| 1912940271 | Longs Drug Stores California Inc | Pharmacy | 7725 Evergreen Way, Everett, WA 98203-6432 | 2006-06-14 |
| 1093799843 | Pharmacy Corporation of America | Pharmacy | 111 Se Everett Mall Way, Ste A100, Everett, WA 98208-3208 | 2005-12-05 |
| 1003251646 | The Bartell Drug Co | Pharmacy | 3909 Hoyt Ave, Everett, WA 98201-4918 | 2013-05-09 |
| 1902057003 | Providence Health & Services-wa | Pharmacy | 12800 Bothell Everett Hwy, Suite 140, Everett, WA 98208-6642 | 2008-10-07 |
| 1356592745 | Providence Health & Services-wa | Pharmacy | 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 | 2008-10-04 |
| 1154572543 | Providence Health & Services-wa | Pharmacy | 3305 Nassau St, Suite 101, Everett, WA 98201-4140 | 2008-10-04 |
| 1356531990 | Community Health & Referral Center | Pharmacy | 1019 112th St Sw, Everett, WA 98204-4875 | 2007-07-30 |
| 1184824559 | Providence Health & Services - Wa | Pharmacy | 12800 Bothell Everett Hwy, Ste 140, Everett, WA 98208-6642 | 2007-07-23 |
| 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.