Cascade Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CASCADE SPECIALTY PHARMACY LLC

Practice address

19062 State Highway 305 NE
Poulsbo, WA 98370-7336

Phone

(360) 779-2737

Fax

(360) 779-4905

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Savannah Mansour

Title

M&a Licensing Manager

Phone

(224) 715-2685

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cascade Specialty Pharmacy Doing business as

Tax ID family

Cascade Specialty Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Poulsbo Compounding Pharmacy LLC

  • Compounding Pharmacy
  • Poulsbo, WA
  • NPI 1700603891
  NPD tax ID
• Poulsbo Compounding Pharmacy LLC

  • Compounding Pharmacy
  • Poulsbo, WA
  • NPI 1962779348
  NPD tax ID

Locations

Practitioners 1

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

• Chad Tinnes, PHARM.D

  • Pharmacist
  • Poulsbo, WA
  • NPI 1861774960
  NPD

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1114237633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19062 STATE HIGHWAY 305 NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707336",
            "telephone_number": "360-779-2737",
            "fax_number": "360-779-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19062 STATE HIGHWAY 305 NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707336",
            "telephone_number": "360-779-2737",
            "fax_number": "360-779-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "M&A LICENSING MANAGER",
        "authorized_official_telephone_number": "224-715-2685"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Carmel, P.T.A.
• Jessica Carrier, P.A.
• Metasha Pak Carson, DO 61511845
• Katlyn Peterson Carter, LM, CPM
• Susan Marie Casagrande, LICSW
• Gabriela Cash, MD, MBA
• Bailey Caton, PHARM. D.
• Anjoli Elizabeth Cero, MS, OTR/L
• Changing Tides LLC
• Joseph Chapie II

• Community/Retail Pharmacy in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.