Bloodworks

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60546394 Issued in WA

Legal business name

BLOODWORKS

Practice address

921 Terry Ave
Suite a
Seattle, WA 98104-1239

Phone

(206) 292-6500

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Robert J Gleason

Title

Cfo

Phone

(206) 689-6680

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Puget Sound Blood Center and Programs Doing business as

Locations

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1053799403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 TERRY AVE",
            "address_2": "SUITE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041239",
            "telephone_number": "206-292-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 TERRY AVE",
            "address_2": "SUITE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041239",
            "telephone_number": "206-292-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOODWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-689-6680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PHWH.FX.60073065",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60546394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Blood Center and Programs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Blodgett
• Maxwell K Bloeser, DDS
• Sydney Blomme
• Joanna M. Blondeau, CRNA
• Niviann M Blondet, MD
• Bloodworks
• Bloom & Flourish Therapy, PLLC
• Amanda Jeannine Bloom
• Cailin Evaleen Bloom
• Charlotte Bloom

• Community/Retail Pharmacy in Seattle, WA
• Providers in Seattle, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.