Active NPI
Cascade Pharmacy Inc
- Community/Retail Pharmacy
- Renton, WA
National Provider Identifier
1083728158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF00002285
- Legal business name
- CASCADE PHARMACY INC
- Practice address
- 3915 Talbot Rd S
Renton, WA 98055-5738 - Phone
- (425) 271-7025
- Fax
- (425) 271-6060
- NPI assigned
- Aug 18, 2006
- 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
- Mr. Douglas L Rosser, R. PH.
- Title
- Owner
- Phone
- (425) 271-7025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | CF00002285 | WA | Primary |
Addresses
Primary practice location
3915 Talbot Rd S
Renton, WA 98055-5738
Mailing address
3915 Talbot Rd S
Renton, WA 98055-5738
Phone (425) 271-7025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6139505 | Medicaid | WA | |
| 4915623 | Other | NABP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1083728158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-271-7025",
"fax_number": "425-271-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-271-7025",
"fax_number": "425-271-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "ROSSER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-271-7025",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R. PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "CF00002285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6139505",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4915623",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.