NPIMap

Organization Active NPI

University of Washington

  • Community/Retail Pharmacy
  • Seattle, WA
National Provider Identifier
1013950336
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNIVERSITY OF WASHINGTON
Practice address
1959 NE Pacific St
RM Ee315
Seattle, WA 98195-0001
Phone
(206) 598-4363
Fax
(206) 598-7817
NPI assigned
Jun 14, 2006
Organization subpart
Yes
Parent organization
UNIVERSITY OF WASHINGTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Steve Fijalka
Title
Chief Pharmacy Officer
Phone
(206) 744-3377

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Institutional Pharmacy 3336I0012X PHAR.CF00001694 WA

Addresses

Primary practice location

1959 NE Pacific St
RM Ee315
Seattle, WA 98195-0001

Mailing address

1959 NE Pacific St # 356015
Seattle, WA 98195-6015
Phone (206) 598-6059

Other identifiers 4

IdentifierTypeStateIssuer
2108158OtherPK
6001028MedicaidWA
4915849OtherWANCPDP
1045354MedicaidWA

Other names 1

  • UNIVERSITY OF WASHINGTON MEDICAL CENTER AMBULATORY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081113000145 WA Part B Supplier - Mass Immunization (Roster Biller Only) 3274445150 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA; Bellevue, WA

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Part of
Scca-Oral Medicine

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1700 116th Ave NE
Bellevue, WA 98004
Phone (206) 520-2200

18631 Alderwood Mall Pkwy
Ste 310
Lynnwood, WA 98037
Phone (425) 774-8251

501 Eastlake Ave E
Ste 300
Seattle, WA 98109
Phone (206) 598-4025

750 Republican St
Seattle, WA 98109
Phone (206) 485-9000

3920 15th Ave NE
Seattle, WA 98195
Phone (206) 543-6511

825 Eastlake Ave E
#358081
Seattle, WA 98109
Phone (206) 288-6279

501 Eastlake Ave E
Seattle, WA 98109
Phone (206) 598-4026

1959 NE Pacific St
#H361B
Seattle, WA 98195
Phone (866) 577-1915

1959 NE Pacific St
#B221
Seattle, WA 98195
Phone (206) 685-2937

1959 NE Pacific St
Rm EE315
Seattle, WA 98195
Phone (206) 598-4363

1959 NE Pacific St
Rm B202
Seattle, WA 98195
Phone (206) 543-4440

1616 Eastlake Ave E
Ste 320
Seattle, WA 98102
Phone (206) 616-8900

325 9th Ave
Rm GWH47
Seattle, WA 98104
Phone (206) 616-8900

Practitioners & affiliated clinicians

Practitioners 262

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

View all 262

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1013950336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST # 356015",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956015",
            "telephone_number": "206-598-6059",
            "fax_number": "206-598-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "RM EE315",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-598-4363",
            "fax_number": "206-598-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF WASHINGTON",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "FIJALKA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "206-744-3377"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WA",
            "license": "PHAR.CF00001694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108158",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001028",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4915849",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045354",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY OF WASHINGTON MEDICAL CENTER AMBULATORY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNIVERSITY OF WASHINGTON MEDICAL CENTER AMBULATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.