Active NPI
Westside Pharmacy
- Community/Retail Pharmacy
- Seattle, WA
National Provider Identifier
1205847704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WESTSIDE PHARMACY
- Practice address
- 5401 California Ave SW
Seattle, WA 98136-1512 - Phone
- (206) 937-5722
- Fax
- (206) 935-0118
- NPI assigned
- Aug 10, 2006
- 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
- Michael NG, PHARM.D.
- Title
- Pres
- Phone
- (206) 937-5722
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | CF00001707 | WA | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
5401 California Ave SW
Seattle, WA 98136-1512
Mailing address
5401 California Ave SW
Seattle, WA 98136-1512
Phone (206) 937-5722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4913338 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 6007421 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- NG's Westside Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1205847704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361512",
"telephone_number": "206-937-5722",
"fax_number": "206-935-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361512",
"telephone_number": "206-937-5722",
"fax_number": "206-935-0118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "NG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "206-937-5722",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "CF00001707",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4913338",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6007421",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.