Makers Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

MAKERS COMPOUNDING PHARMACY

Practice address

839 S Burlington Blvd
Burlington, WA 98233-3307

Phone

(360) 757-6677

Fax

(360) 757-6888

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Michelle Moser, RPHNPI 1669588521

Title

Pharmacist- Owner

Phone

(360) 757-6677

Specialties & licenses 1

Addresses

Tax ID family

Makers Compounding Pharmacy2 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.

• Makers Pharmacy

  • Health Service Clinic/Center
  • Burlington, WA
  • NPI 1841581964
  NPD tax ID

Locations

Practitioners 2

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

• Michelle K Moser, RPH

  • Pharmacist
  • Burlington, WA
  • NPI 1669588521
  NPD (past) Authorized official
• Jayne Hammingh, RPH

  • Pharmacist
  • Sedro Woolley, WA
  • NPI 1891815304
  NPD (past)

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1104366392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333307",
            "telephone_number": "360-757-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333307",
            "telephone_number": "360-757-6677",
            "fax_number": "360-757-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKERS COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHARMACIST- OWNER",
        "authorized_official_telephone_number": "360-757-6677",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel D Luke, MA, LMHCA
• Sara Alejandra Lunsford
• Marshall Ryan Lynch
• Jordan Duane Mach
• Michael Joseph Maidan, DO
• Makers Pharmacy
• Krystal Jade Martinez, LPN
• Emilee Elizabeth Mason
• Kathleen Mattix
• Hope Nicole McAdow

• Compounding Pharmacy in Burlington, WA
• Providers in Burlington, WA by specialty
• Compounding Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.