Organization Active NPI

Port Orchard Pharmacy Inc

Doing business as Port Orchard Pharmacy

  • Community/Retail Pharmacy
  • Port Orchard, WA
National Provider Identifier
1023920105
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PORT ORCHARD PHARMACY INC
Doing business as
Port Orchard Pharmacy
Practice address
1786 SE Mile Hill Dr
Port Orchard, WA 98366-3512
Phone
(360) 443-5144
Fax
(360) 443-5091
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Mr. Anand GowdaNPI 1700038973
Title
President
Phone
(425) 247-4108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1786 SE Mile Hill Dr
Port Orchard, WA 98366-3512

Mailing address

6417 83Rd Ave W
University Place, WA 98467-3902
Phone (425) 247-4108

Other names 1

  • Port Orchard Pharmacy Doing business as

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1023920105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 83RD AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673902",
            "telephone_number": "425-247-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 SE MILE HILL DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663512",
            "telephone_number": "360-443-5144",
            "fax_number": "360-443-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ORCHARD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-247-4108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Orchard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.