Active NPI
B.M.D Corporation
- Community/Retail Pharmacy
- Lynnwood, WA
National Provider Identifier
1265575773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF58065
- Legal business name
- B.M.D CORPORATION
- Practice address
- 3005 Alderwood Mall Pkwy
Suite # 100
Lynnwood, WA 98036-6920 - Phone
- (425) 771-8090
- NPI assigned
- Feb 14, 2007
- 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
- Sohrab Daneshfar, PHARM D
- Title
- Manager
- Phone
- (425) 771-8090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | CF58065 | WA | Primary |
Addresses
Primary practice location
3005 Alderwood Mall Pkwy
Suite # 100
Lynnwood, WA 98036-6920
Mailing address
3005 Alderwood Mall Pkwy
Suite # 100
Lynnwood, WA 98036
Phone (425) 771-8090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6028260 | Medicaid | WA |
Other names 1
- Remedies
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1265575773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 ALDERWOOD MALL PKWY",
"address_2": "SUITE # 100",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "98036",
"telephone_number": "425-771-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 ALDERWOOD MALL PKWY",
"address_2": "SUITE # 100",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366920",
"telephone_number": "425-771-8090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B.M.D CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "DANESHFAR",
"authorized_official_first_name": "SOHRAB",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "425-771-8090",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "CF58065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6028260",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Remedies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.