MULTICARE HEALTH SYSTEMS (NPI# 1912287731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912287731 |
| Entity Type | Organization |
| Organization Name | MULTICARE HEALTH SYSTEMS |
| Other Organization Name | MULTICARE BONNEY LAKE PHARMACY |
| Practice Address |
10004 204th Ave E Suite 1200 Bonney Lake WA 98391-6539 |
| Practice Telephone | 2534473355 |
| Practice Fax Number | 2534473375 |
| Mailing Telephone | 2534473355 |
| Mailing Fax Number | 2534473375 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | HIEN TRAN (PHARMACY SUPERVISOR) |
| Authorized Official Telephone | 2534033687 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | MULTICARE HEALTH SYSTEMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHARCF60229221 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2131570 | 01 | |
| WA | 1912287731 | 05 |
| Other Name | Type Code |
|---|---|
| MultiCare Bonney Lake Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457629644 | Multicare Health Systems | Durable Medical Equipment & Medical Supplies | 1450 5th St Se Ste 1200, Puyallup, WA 98372-4688 | 2011-12-02 |
| 1215457171 | Multicare Health Systems | Pharmacy | 1210 Sw 136th St, Suite 101, Burien, WA 98166-1214 | 2017-06-22 |
| 1336511963 | Multicare Health Systems | Pharmacy | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2015-10-22 |
| 1467824094 | Multicare Health Systems | Pharmacy | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-22 |
| 1720450356 | Multicare Health Systems | Pharmacy | 315 Martin Luther King Jr Way, Ms 315-c2-rx, Tacoma, WA 98405-4234 | 2015-10-22 |
| 1639582190 | Multicare Health Systems | Pharmacy | 202 N Division St, Auburn, WA 98001-4939 | 2014-06-03 |
| 1396005294 | Multicare Health Systems | Pharmacy | 2209 N Pearl St Ste 100, Tacoma, WA 98406-2529 | 2012-05-24 |
| 1548565393 | Multicare Health Systems | Durable Medical Equipment & Medical Supplies | 325 E Pioneer, Puyallup, WA 98372-3265 | 2011-01-25 |
| 1174704514 | Multicare Health Systems | Pharmacy | 4545 Point Fosdick Dr Nw, Suite 250, Gig Harbor, WA 98335-1700 | 2007-11-14 |
| 1275693244 | Multicare Health Systems | Pharmacy | 17700 Se 272nd St, Ste 100, Covington, WA 98042-4951 | 2006-12-11 |
| Street Address |
10004 204TH AVE E SUITE 1200 |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-6539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656284 | Kelly A Osborn | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2005-08-18 |
| 1053946459 | Jean Piere Nieves | Physician Assistant | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2020-03-05 |
| 1508408923 | Heidi Rose Heiser | Midwife | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2019-10-17 |
| 1881189470 | Kristina Omalley Dubow | Midwife | 10004 204th Ave E, Bonney Lake, WA 98391 | 2018-06-26 |
| 1588115158 | Sujin Lee | Pharmacist | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2016-10-19 |
| 1487101994 | Chi Ming Chan | Pharmacist | 10004 204th Ave E, #1100, Bonney Lake, WA 98391-6539 | 2016-09-01 |
| 1487015657 | Kala Gardner | Occupational Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2016-03-15 |
| 1073985057 | Bryan James Antonius | Radiologic Technologist | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6539 | 2015-10-29 |
| 1487023701 | Rachel Pruessing | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2015-09-16 |
| 1891161865 | Julia Morris | Nurse Practitioner | 10004 204th Ave E, #3400, Bonney Lake, WA 98391-6539 | 2015-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| 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 |
|---|---|---|---|---|
| 1902232978 | Nwpa Inc | Pharmacy | 21509 State Route 410 E, 4, Bonney Lake, WA 98391-4190 | 2013-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493533 | Doctors Pharmacy, LLC | Pharmacy | 65 Columbia Point Dr, Richland, WA 99352-4375 | 2020-09-25 |
| 1871105999 | Whidbey Island Public Hospital District | Pharmacy | 7 Ne Birch St, Coupeville, WA 98239-3132 | 2020-08-19 |
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
| 1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
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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.