Washington State Department of Social and Health Services

Primary specialty

PharmacyTaxonomy code 333600000X

License

FL00000256 Issued in WA

Legal business name

WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES

Practice address

15230 15TH Ave NE
Shoreline, WA 98155-7130

Phone

(206) 361-3565

Fax

(206) 361-3157

NPI assigned

Jun 14, 2006

Organization subpart

Yes

Parent organization

WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICESAs reported in NPPES

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

Authorized official

Name

Dr. Asha Singh, MD

Title

Superintendent

Phone

(206) 361-3032

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Fircrest School Pharmacy Doing business as

Tax ID family

Fircrest2 organizations share this tax ID, including this one

Part of

Lynden School District

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fircrest

  • Nursing Facility/Intermediate Care Facility
  • Shoreline, WA
  • NPI 1750378402
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Washington State Department of Social and Health Services

  • Long Term Care Pharmacy
  • Buckley, WA
  • NPI 1740355320
  NPPES parent name

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1013950393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557130",
            "telephone_number": "206-361-3565",
            "fax_number": "206-361-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557130",
            "telephone_number": "206-361-3565",
            "fax_number": "206-361-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "206-361-3032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "FL00000256",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WA",
            "license": "FL00000256",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "FL00000256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4906650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fircrest School Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latu Deressa Wanjalatan
• Kimberly Michelle Ward, PT, DPT
• Skilier Cullers Warren, LMP
• Washington State Department of Health
• Washington State Department of Health
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• Sara Louise Waters, LICSW, CMHS
• Patricia Ann Weber, M.D.
• Grace Weigel, M.A
• Belaynesh Weldearegay, LMHC

• Pharmacy in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.