NPIMap

Organization Active NPI

Arlington Pharmacy Inc

Doing business as Marysville Pharmacy

  • Community/Retail Pharmacy
  • Marysville, WA
National Provider Identifier
1033274469
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF60221948 Issued in WA
Legal business name
ARLINGTON PHARMACY INC
Doing business as
Marysville Pharmacy
Practice address
9417 State Ave
Marysville, WA 98270-2205
Phone
(360) 653-4857
Fax
(360) 653-5211
NPI assigned
Dec 26, 2006
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Cory Duskin
Title
Gen MGR
Phone
(360) 435-5771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHAR.CF60221948 WA Primary

Addresses

Primary practice location

9417 State Ave
Marysville, WA 98270-2205

Mailing address

540 N West Ave
Arlington, WA 98223-1251
Phone (360) 435-7691

Other identifiers 2

IdentifierTypeStateIssuer
4917451OtherNCPDP PROVIDER IDENTIFICATION NUMBER
6019756MedicaidWA

Other names 1

  • Marysville Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arlington Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1033274469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N WEST AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231251",
            "telephone_number": "360-435-7691",
            "fax_number": "888-575-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702205",
            "telephone_number": "360-653-4857",
            "fax_number": "360-653-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "DUSKIN",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "GEN MGR",
        "authorized_official_telephone_number": "360-435-5771"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF60221948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4917451",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6019756",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marysville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.