NPIMap

Organization Active NPI

Harborview Medical Center

Doing business as Pioneer Square Clinic Pharmacy

  • Community/Retail Pharmacy
  • Seattle, WA
National Provider Identifier
1235777616
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HARBORVIEW MEDICAL CENTER
Doing business as
Pioneer Square Clinic Pharmacy
Practice address
206 3Rd Ave S
Seattle, WA 98104-2697
Phone
(206) 744-1762
NPI assigned
Dec 16, 2019
Organization subpart
Yes
Parent organization
HARBORVIEW MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Steve Fijalka
Title
Chief Pharmacy Officer
Phone
(206) 744-3377

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

206 3Rd Ave S
Seattle, WA 98104-2697

Mailing address

1959 NE Pacific St # 356015
Seattle, WA 98195-0001
Phone (206) 598-6059

Other identifiers 2

IdentifierTypeStateIssuer
2168478MedicaidWA
4939483OtherWANCPDP

Other names 1

  • Pioneer Square Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harborview Medical Center17 organizations share this tax ID, including this one
Part of
Harborview Medical Center

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1235777616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST # 356015",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-598-6059",
            "fax_number": "206-598-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 3RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042697",
            "telephone_number": "206-744-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORVIEW MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBORVIEW MEDICAL CENTER",
        "enumeration_date": "2019-12-16",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "FIJALKA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "206-744-3377"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168478",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4939483",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Square Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Square Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2021; 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.