Organization Active NPI

QFC

  • Pharmacy
  • North Bend, WA
National Provider Identifier
1043571235
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH00009475 Issued in WA
Legal business name
QFC
Practice address
460 E North Bend Way
North Bend, WA 98045-8270
Phone
(425) 888-2357
Fax
(425) 831-1953
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
John Marshall, RPHNPI 1427301688
Title
Pharmacy Manager
Phone
(425) 888-2357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH00009475 WA Primary

Addresses

Primary practice location

460 E North Bend Way
North Bend, WA 98045-8270

Mailing address

460 E North Bend Way
PO Box 329
North Bend, WA 98045-8270
Phone (425) 888-2357

Other identifiers 2

IdentifierTypeStateIssuer
911330075OtherTAX ID
6024574MedicaidWA

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1043571235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E NORTH BEND WAY",
            "address_2": "PO BOX 329",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458270",
            "telephone_number": "425-888-2357",
            "fax_number": "425-831-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E NORTH BEND WAY",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458270",
            "telephone_number": "425-888-2357",
            "fax_number": "425-831-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "425-888-2357",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PH00009475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "911330075",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6024574",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.