Active NPI
Northwest Pharmacy Group LLC
- Community/Retail Pharmacy
- Mercer Island, WA
National Provider Identifier
1073306387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NORTHWEST PHARMACY GROUP LLC
- Practice address
- 2703 76TH Ave SE
Mercer Island, WA 98040-2735 - Phone
- (509) 388-8257
- NPI assigned
- May 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sripriya Chellappan
- Title
- Pharmacist in Charge
- Phone
- (509) 388-8257
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2703 76TH Ave SE
Mercer Island, WA 98040-2735
Mailing address
2703 76TH Ave SE
Mercer Island, WA 98040-2735
Phone (509) 388-8257
Other names 1
- Mercer Island Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250826000418 | WA | Part B Supplier - Pharmacy | 7214437060 | Practice locations: Mercer Island, WA |
National Provider Directory
National Provider DirectoryLocations
2703 76th Ave SE
Mercer Island, WA 98040
Phone (206) 647-3784
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Yakima, WA
- NPI 1174823694
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Monroe, WA
- NPI 1255605820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1073306387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 76TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980402735",
"telephone_number": "509-388-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 76TH AVE SE",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980402735",
"telephone_number": "509-388-8257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST PHARMACY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-28",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "CHELLAPPAN",
"authorized_official_first_name": "SRIPRIYA",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "509-388-8257",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercer Island Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mercer Island Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mercer Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.