NPIMap

Organization Active NPI

Maxor National Pharmacy

  • Pharmacy Technician
  • Renton, WA
National Provider Identifier
1114903671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
VA00021561 Issued in WA
Legal business name
MAXOR NATIONAL PHARMACY
Practice address
601 S Carr Rd
Renton, WA 98055-5866
Phone
(425) 227-3122
Fax
(425) 227-3772
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kimberly Ann Morrow
Title
Certified Pharmacy Technician
Phone
(425) 227-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 183700000X VA00021561 WA Primary

Addresses

Primary practice location

601 S Carr Rd
Renton, WA 98055-5866

Mailing address

12725 SE 167TH St
Renton, WA 98058-5541
Phone (425) 271-7481

Other names 1

  • Pacific Medical Phamacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacmed Clinics7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114903671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SE 167TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585541",
            "telephone_number": "425-271-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARR RD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555866",
            "telephone_number": "425-227-3122",
            "fax_number": "425-227-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXOR NATIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CERTIFIED PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "425-227-3122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00021561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Medical Phamacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.