Pharmaca Integrative Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00000469 Issued in WA

Legal business name

PHARMACA INTEGRATIVE PHARMACY, INC.

Doing business as

Medly Pharmacy

Practice address

15840 Redmond Way
Redmond, WA 98052

Phone

(425) 885-2323

Fax

(425) 867-8988

NPI assigned

Jan 18, 2007

Last updated

Apr 19, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alison Farrell

Title

SVP Pharmacy Services

Phone

(717) 254-9011

Specialties & licenses 1

Addresses

Other names 1

• Medly Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pharmaca Integrative Pharmacy, Inc.

  dba Pharmaca Integrative Pharmacy

  • Community/Retail Pharmacy
  • Monterey, CA
  • NPI 1104003318

  1658550561

  Same PAC ID
• Pharmaca Integrative Pharmacy, Inc.

  dba Medly Pharmacy

  • Community/Retail Pharmacy
  • Boulder, CO
  • NPI 1124187224

  1658550561

  Same PAC ID
• Pharmaca Integrative Pharmacy, Inc.

  dba Medly Pharmacy

  • Community/Retail Pharmacy
  • Boulder, CO
  • NPI 1528121910

  1658550561

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pharmaca Integrative Pharmacy, Inc.

  dba Medly Pharmacy

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1578760260

  O20111026000113

  Same enrollment
• Pharmaca Integrative Pharmacy, Inc.

  dba Medly Pharmacy

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1972666279

  O20111026000113

  Same enrollment

Locations

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth Jacob Collins

  • Pharmacist
  • Seattle, WA
  • NPI 1831683507
  NPD (past)
• Lori Eykholt, R.PH.

  • Pharmacist
  • Redmond, WA
  • NPI 1548632870
  NPD (past)
• Sara J Fifarek, PHARMD

  • Pharmacist
  • Longview, WA
  • NPI 1730463423
  NPD (past)
• Marisa Quaranta Macmillan, R.PH.

  • Pharmacist
  • Seattle, WA
  • NPI 1588879563
  NPD (past)
• William H McNary III, RPH

  • Pharmacist
  • Seattle, WA
  • NPI 1285766568
  NPD (past)
• Kyungbin Moon, PHARMD

  • Pharmacist
  • Renton, WA
  • NPI 1992309298
  NPD (past)
• Roman Aleksejev

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Louisville, CO
  • NPI 1962090746
  NPD (past)
• Maryam Arabpour Dahooei, RPH

  • Pharmacist
  • Menlo Park, CA
  • NPI 1073123246
  NPD (past)
• Joseph Steven Bitterman, RPH

  • Pharmacist
  • La Jolla, CA
  • NPI 1629611280
  NPD (past)
• Stephanie Chu, PHARMD

  • Pharmacist
  • Berkeley, CA
  • NPI 1174187470
  NPD (past)
• Hannah Costello, PHARMD

  • Pharmacist
  • Monterey, CA
  • NPI 1376253641
  NPD (past)
• Caroline Cranwell-Calleros, RPH

  • Pharmacist
  • Menlo Park, CA
  • NPI 1952772063
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1013069822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7088 WINCHESTER CIR STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013760",
            "telephone_number": "303-442-2304",
            "fax_number": "303-867-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 REDMOND WAY",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-885-2323",
            "fax_number": "425-867-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACA INTEGRATIVE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "SVP PHARMACY SERVICES",
        "authorized_official_telephone_number": "717-254-9011"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00000469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medly Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M Petrich, M.D.
• James H Petrin, MD
• Evelyn Pham, OD
• Minh H Pham, L.AC.
• Toan Pham, PHARMD
• Pharmaca Integrative Pharmacy, Inc.
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.
• Bessie Ming-Yi Pian, O.D.
• Maria Anne Pielaet, MD

• Community/Retail Pharmacy in Redmond, WA
• Providers in Redmond, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.