Active NPI
Community Health Care
- Clinic Pharmacy
- Lakebay, WA
National Provider Identifier
1053916148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- COMMUNITY HEALTH CARE
- Practice address
- 15610 89TH St. CT. KPN
Lakebay, WA 98349 - Phone
- (253) 597-4550
- NPI assigned
- Dec 4, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- David Flentge
- Title
- Ceo
- Phone
- (253) 597-4550
Corporate family (same tax ID) 33
Organizations that report the same tax identification number in the National Provider Directory.
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- Dental Clinic/Center
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- Dental Clinic/Center
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- Clinic/Center
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- Clinic Pharmacy
- Puyallup, WA
- NPI 1295675940
National Provider Directory
National Provider Directory- Tax ID family
- Family Clinic
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
15610 89TH St. CT. KPN
Lakebay, WA 98349
Mailing address
1148 Broadway Ste 100
Tacoma, WA 98402-3518
Phone (253) 597-4550
Other names 1
NPPES NPI Registry- Community Health Care Pharmacy - Key Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2020.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607040000000",
"number": "1053916148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 BROADWAY STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023518",
"telephone_number": "253-597-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15610 89TH ST. CT. KPN",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "98349",
"telephone_number": "253-597-4550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A",
"authorized_official_last_name": "FLENTGE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-597-4550"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Health Care Pharmacy - Key Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakebay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.