NPIMap

Organization Active NPI

Lakewood Pharmacy Inc

  • Community/Retail Pharmacy
  • Tacoma, WA
National Provider Identifier
1104257666
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60353905 Issued in WA
Legal business name
LAKEWOOD PHARMACY INC
Practice address
1902 96TH St S Ste a
Tacoma, WA 98444-2808
Phone
(253) 302-4178
Fax
(253) 503-0858
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Sung ChangNPI 1316379787
Title
Pharmacist
Phone
(253) 507-7492

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.60353905 WA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1902 96TH St S Ste a
Tacoma, WA 98444-2808

Mailing address

1902 96TH St S
Ste a
Tacoma, WA 98444-2808
Phone (253) 302-4178

Other identifiers 2

IdentifierTypeStateIssuer
2034106MedicaidWA
2143288OtherPK

Other names 1

  • Mega Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8720 South Tacoma Way
Lakewood, WA 98499
Phone (253) 581-3426

8720 South Tacoma Way
Ste 103
Lakewood, WA 98499
Phone (253) 581-3426

9601 South Tacoma Way
Ste 105
Lakewood, WA 98499
Phone (253) 581-3426

1902 96th St S
Ste A
Tacoma, WA 98444
Phone (253) 302-4178

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1104257666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 96TH ST S",
            "address_2": "STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984442808",
            "telephone_number": "253-302-4178",
            "fax_number": "253-503-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 96TH ST S STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984442808",
            "telephone_number": "253-302-4178",
            "fax_number": "253-503-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "253-507-7492"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60353905",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034106",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mega Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mega Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.