Active NPI
J & J Pharmacy
- Pharmacist
- Edmonds, WA
National Provider Identifier
1003974379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 04146
- Legal business name
- J & J PHARMACY
- Practice address
- 7315 212TH St SW Ste 102
Edmonds, WA 98026-7610 - Phone
- (425) 670-8912
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen C Johnson, RPH
- Title
- Owner Pharmacist
- Phone
- (425) 670-8912
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 04146 | WA | Primary |
Addresses
Primary practice location
7315 212TH St SW Ste 102
Edmonds, WA 98026-7610
Mailing address
7315 212TH St SW Ste 102
Edmonds, WA 98026-7610
Phone (425) 670-8912
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6010219 | Medicaid | WA | |
| 4921208 | Other | WA | NABP # |
National Provider Directory
National Provider DirectoryLocations
7315 212th St SW
Ste 102
Edmonds, WA 98026
Phone (425) 670-8912
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Edmonds, WA
- NPI 1174682439
-
- Pharmacist
- Edmonds, WA
- NPI 1306904685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003974379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7315 212TH ST SW STE 102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267610",
"telephone_number": "425-670-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 212TH ST SW STE 102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267610",
"telephone_number": "425-670-8912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J & J PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "425-670-8912",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WA",
"license": "04146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6010219",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP #",
"identifier": "4921208",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.