Serk Apothecary, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60707845 Issued in WA

Legal business name

SERK APOTHECARY, LLC

Practice address

19410 36TH Ave W Ste 3
Lynnwood, WA 98036-5747

Phone

(425) 835-0281

Fax

(425) 835-0284

NPI assigned

Jan 3, 2017

Last updated

Jan 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Serkalem Assefa Amede, PHARMD

Title

Pharmacist/Owner

Phone

(206) 313-2950

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1205371085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19410 36TH AVE W STE 3",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365747",
            "telephone_number": "425-835-0281",
            "fax_number": "425-835-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 36TH AVE W STE 3",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365747",
            "telephone_number": "425-835-0281",
            "fax_number": "425-835-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERK APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "AMEDE",
        "authorized_official_first_name": "SERKALEM",
        "authorized_official_middle_name": "ASSEFA",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "206-313-2950",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60707845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHR.CF.60707845",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Lynnwood, WA
• Providers in Lynnwood, 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 Jan 3, 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.