Washington CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WASHINGTON CVS PHARMACY LLC

Practice address

3130 Simpson Avenue
Hoquiam, WA 98550-3027

Phone

(360) 533-5531

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Sr. Director, Payer Relations

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other names 1

• CVS Pharmacy #11654 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Washinton CVS Pharmacy LLC91 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Washington CVS Pharmacy LLC

  • Pharmacy
  • Blaine, WA
  • NPI 1093824302
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Seattle, WA
  • NPI 1104186782
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Federal Way, WA
  • NPI 1104848803
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Puyallup, WA
  • NPI 1104848894
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Centralia, WA
  • NPI 1134238454
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Federal Way, WA
  • NPI 1134661523
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Burien, WA
  • NPI 1144338104
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Bothell, WA
  • NPI 1154431831
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Woodinville, WA
  • NPI 1164716528
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Redmond, WA
  • NPI 1174633861
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Seattle, WA
  • NPI 1184801169
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Mercer Island, WA
  • NPI 1194834408
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1205945516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SIMPSON AVENUE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985503027",
            "telephone_number": "360-533-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #11654",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark R Van Hemert, DC
• Kriss C Vanderhyde
• Alisha Lynn Vitkoczy
• Janessa Wakefield
• Timothy E Wandell, DDS
• Ashley Elizabeth Wate
• Edward J Wayman, O.D.
• Jeffrey Wayman
• Jody Wayman, RN
• Joseph Edward Wayman

• Pharmacy in Hoquiam, WA
• Providers in Hoquiam, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.