Active NPI
Nimble Pharmacy, Inc
Doing business as Nimble Pharmacy
- Community/Retail Pharmacy
- Tukwila, WA
National Provider Identifier
1144691536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHAR.CF.60605639
- Legal business name
- NIMBLE PHARMACY, INC
- Doing business as
- Nimble Pharmacy
- Practice address
- 12832 Interurban Ave S Ste 1
Tukwila, WA 98168-3318 - Phone
- (866) 966-4625
- Fax
- (650) 889-4199
- NPI assigned
- Oct 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Talha Waqar
- Title
- Owner
- Phone
- (866) 966-4625
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHAR.CF.60605639 | WA | Primary |
Addresses
Primary practice location
12832 Interurban Ave S Ste 1
Tukwila, WA 98168-3318
Mailing address
1134 Crane St
Suite 100
Menlo Park, CA 94025-4359
Phone (866) 966-4625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2154598 | Other | PK |
Other names 1
- Nimble Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Nimble Pharmacy Inc
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Palo Alto, CA
- NPI 1679944821
-
dba Nimble Pharmacy
- Community/Retail Pharmacy
- Farmers Branch, TX
- NPI 1255827986
Locations
12832 Interurban Ave S
Ste 1
Tukwila, WA 98168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1144691536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 CRANE ST",
"address_2": "SUITE 100",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254359",
"telephone_number": "866-966-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12832 INTERURBAN AVE S STE 1",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683318",
"telephone_number": "866-966-4625",
"fax_number": "650-889-4199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIMBLE PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-12",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "WAQAR",
"authorized_official_first_name": "TALHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "866-966-4625"
},
"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.60605639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2154598",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nimble Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.