Active NPI
Specialty Pharmacies, Inc.
Doing business as Cherry Street Pharmacy
- Pharmacy
- Seattle, WA
National Provider Identifier
1255389961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- CF00058164
- Legal business name
- SPECIALTY PHARMACIES, INC.
- Doing business as
- Cherry Street Pharmacy
- Practice address
- 1120 Cherry St
Seattle, WA 98104-2044 - Phone
- (206) 624-1391
- Fax
- (206) 624-1791
- NPI assigned
- May 5, 2006
- Last updated
- Mar 7, 2023
- 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
- Russell J. Fichera
- Title
- Senior Vice President and Treasurer
- Phone
- (508) 297-1018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | CF00058164 | WA | Primary |
Addresses
Primary practice location
1120 Cherry St
Seattle, WA 98104-2044
Mailing address
1120 Cherry St
Seattle, WA 98104-2044
Phone (206) 624-1391
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4929595 | Other | NCPDP PROVIDER ID | |
| 6025514 | Medicaid | WA | |
| PHAR.CF.00058164 | Other | WA | STATE LICENSE |
Other names 1
- Cherry Street Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- 2ND Street Pharmacy
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Moms Pharmacy
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1235187956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1255389961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 CHERRY ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042044",
"telephone_number": "206-624-1391",
"fax_number": "206-624-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 CHERRY ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042044",
"telephone_number": "206-624-1391",
"fax_number": "206-624-1791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY PHARMACIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "FICHERA",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND TREASURER",
"authorized_official_telephone_number": "508-297-1018"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "CF00058164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER ID",
"identifier": "4929595",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6025514",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PHAR.CF.00058164",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cherry Street 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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.