Union Avenue Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

60126769 Issued in WA

Legal business name

UNION AVENUE COMPOUNDING PHARMACY

Practice address

2302 S Union Ave
Tacoma, WA 98405-1300

Phone

(253) 752-1705

Fax

(253) 761-9315

NPI assigned

Dec 23, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kim G Burkes, RPHNPI 1598985921

Title

Owner/Pharmacist

Phone

(253) 752-1705

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kim Burkes, RPH, BCNP

  • Pharmacist
  • Tacoma, WA
  • NPI 1598985921
  NPD (past) Authorized official

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1023347960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-1705",
            "fax_number": "253-761-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-1705",
            "fax_number": "253-761-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION AVENUE COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "BURKES",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "253-752-1705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "60126769",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "60126769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim E Unbedacht Orte, LMP
• Troy P Underbrink, D.O.
• Understand Balance Mental Health Care
• Understand Balance Mental Health Care
• Mark Todd Underwood, PHARMD
• Union Avenue Compounding Pharmacy
• Union Avenue Dental Center
• Union Avenue Open MRI LLC
• Union Avenue Pediatrics, PLLC
• United Behavioral Health

• Compounding Pharmacy in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Compounding Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.