Organization Active NPI

Bridgeport Allenmore LLC

  • Community/Retail Pharmacy
  • Tacoma, WA
National Provider Identifier
1295777597
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRIDGEPORT ALLENMORE LLC
Practice address
1901 S Cedar St
Ste 104
Tacoma, WA 98405-2308
Phone
(253) 582-2293
Fax
(253) 272-2294
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Robert Doud
Title
Owner
Phone
(253) 238-2230

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CF00057481 WA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1901 S Cedar St
Ste 104
Tacoma, WA 98405-2308

Mailing address

7424 Bridgeport Way W
Ste 207
Lakewood, WA 98499-8120

Other identifiers 2

IdentifierTypeStateIssuer
6014518MedicaidWA
4912968OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • RAINIER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1901 S Cedar St
Ste 104
Tacoma, WA 98405
Phone (253) 582-2293

7424 Bridgeport Way W
Ste 207
Tacoma, WA 98499

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295777597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W",
            "address_2": "STE 207",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "STE 104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052308",
            "telephone_number": "253-582-2293",
            "fax_number": "253-272-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT ALLENMORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DOUD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-238-2230"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00057481",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6014518",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4912968",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINIER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

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.

Verify at the official NPI Registry.