Active NPI
Sea Mar Community Health Centers
- Community/Retail Pharmacy
- Olympia, WA
National Provider Identifier
1114113602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF59039
- Legal business name
- SEA MAR COMMUNITY HEALTH CENTERS
- Practice address
- 3030 Limited LN NW
Olympia, WA 98502-2704 - Phone
- (360) 704-7575
- Fax
- (360) 704-7579
- NPI assigned
- Sep 19, 2007
- Organization subpart
- Yes
- Parent organization
- SEA MAR COMMUNITY HEALTH CENTERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Bartolo
- Title
- Executive Vice President
- Phone
- (206) 763-5277
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | CF59039 | WA | Primary |
Addresses
Primary practice location
3030 Limited LN NW
Olympia, WA 98502-2704
Mailing address
1040 S Henderson St
Seattle, WA 98108-4720
Phone (206) 788-3220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054624 | Medicaid | WA |
Other names 2
- Sea-Mar Community Health Center
- Sea Mar CHC Olympia Pharmacy
National Provider Directory
National Provider Directory- Part of
- Sea Mar Marysville Medi
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1114113602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 S HENDERSON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981084720",
"telephone_number": "206-788-3220",
"fax_number": "206-788-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LIMITED LN NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985022704",
"telephone_number": "360-704-7575",
"fax_number": "360-704-7579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA MAR COMMUNITY HEALTH CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SEA MAR COMMUNITY HEALTH CENTERS",
"enumeration_date": "2007-09-19",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "BARTOLO",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "206-763-5277"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "CF59039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1054624",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sea-Mar Community Health Center",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Sea Mar CHC Olympia Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.