Active NPI
Anacortes Pharmacy
- Clinic Pharmacy
- Anacortes, WA
National Provider Identifier
1245391317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- ANACORTES PHARMACY
- Practice address
- 2511 M Ave
Ste K
Anacortes, WA 98221-3897 - Phone
- (360) 299-8560
- Fax
- (360) 299-8570
- NPI assigned
- Dec 13, 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
- Bernie Simmons, RPH
- Title
- Owner and Pres
- Phone
- (360) 299-8560
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | CF00057142 | WA | |
| Clinic Pharmacy | 3336C0002X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2511 M Ave
Ste K
Anacortes, WA 98221-3897
Mailing address
2511 M Ave
Ste K
Anacortes, WA 98221-3897
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6025373 | Medicaid | WA | |
| 4925698 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
2511 M Ave
Ste K
Anacortes, WA 98221
Phone (360) 299-8560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1245391317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 M AVE",
"address_2": "STE K",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982213897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 M AVE",
"address_2": "STE K",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982213897",
"telephone_number": "360-299-8560",
"fax_number": "360-299-8570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANACORTES PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "BERNIE",
"authorized_official_title_or_position": "OWNER AND PRES",
"authorized_official_telephone_number": "360-299-8560",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "CF00057142",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6025373",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4925698",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
- Anacortes Hearing Center Inc
- Anacortes Lactation and Wellness LLC
- Anacortes Midwifery Care LLC
- Anacortes North of Olympus, LLC
- Anacortes of Cascadia, LLC
- Anacortes Physical Therapy, Inc., P.S.
- Anacortes Prosthetics & Orthotics LLC
- Anacortes School District #103
- Anacortes School District 103
- Anacortes South of Olympus, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.