Organization Active NPI

Skidmore Pharmacy Inc

  • Community/Retail Pharmacy
  • Anacortes, WA
National Provider Identifier
1013922657
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00056465 Issued in WA
Legal business name
SKIDMORE PHARMACY INC
Practice address
1213 24TH St
Ste 400
Anacortes, WA 98221-2592
Phone
(360) 293-2124
Fax
(360) 293-0419
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Steve Skidmore, R.PH.NPI 1295740058
Title
Pharmacist/Owner
Phone
(360) 293-2124

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 00056465 WA Primary

Addresses

Primary practice location

1213 24TH St
Ste 400
Anacortes, WA 98221-2592

Mailing address

1213 24TH St Ste 400
Anacortes, WA 98221-2595
Phone (360) 293-2124

Other identifiers 2

IdentifierTypeStateIssuer
6151401MedicaidWA
2106527OtherPK

Other names 1

  • Skidmore Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1213 24th St
Ste 400
Anacortes, WA 98221
Phone (360) 293-2124

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1013922657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 24TH ST STE 400",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212595",
            "telephone_number": "360-293-2124",
            "fax_number": "360-293-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 24TH ST",
            "address_2": "STE 400",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212592",
            "telephone_number": "360-293-2124",
            "fax_number": "360-293-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIDMORE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "360-293-2124",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "00056465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6151401",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skidmore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.