Organization Active NPI

Boundless Pharmaceuticals LLC

  • Compounding Pharmacy
  • Poulsbo, WA
National Provider Identifier
1043956840
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
BOUNDLESS PHARMACEUTICALS LLC
Practice address
325 NE Hostmark St
Poulsbo, WA 98370-6668
Phone
(360) 994-4930
NPI assigned
May 5, 2022
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Brandon Knott, PHARMDNPI 1962730317
Title
President
Phone
(360) 994-4930

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
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

325 NE Hostmark St
Poulsbo, WA 98370-6668

Mailing address

PO Box 2850
Poulsbo, WA 98370-2850
Phone (360) 994-4934

National Provider Directory

National Provider Directory

Locations

19062 State Highway 305 NE
Ste 202
Poulsbo, WA 98370

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": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1043956840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2850",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983702850",
            "telephone_number": "360-994-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NE HOSTMARK ST",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706668",
            "telephone_number": "360-994-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-994-4930",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.