Pacific Northwest Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PACIFIC NORTHWEST SPECIALTY PHARMACY LLC

Practice address

3801 Main St Ste a
Vancouver, WA 98663-2258

Phone

(360) 448-7890

Fax

(360) 448-7258

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Janet ColemanNPI 1083053227

Title

President/Owner

Phone

(360) 606-8777

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pacific NW Specialty Pharmacy, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Lynn Coleman, R.PH.

  • Pharmacist
  • Vancouver, WA
  • NPI 1083053227
  NPD Authorized official

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1346595303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MAIN ST STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632258",
            "telephone_number": "360-448-7890",
            "fax_number": "360-448-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MAIN ST STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632258",
            "telephone_number": "360-448-7890",
            "fax_number": "360-448-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-606-8777"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "PHARCF60285905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050038",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific NW Specialty Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Midwifery Service LLC
• Pacific Northwest Electrology LLC
• Pacific Northwest Pain Center
• Pacific Northwest Renal Services, L.L.C.
• Pacific Northwest Renal Services, L.L.C.
• Pacific NW Relational Therapy, PLLC
• Pacific Optical Inc
• Pacific Pediatric Feeding Team
• Pacific Phoenix Group PLLC
• Pacific Surgical Specialists LLC

• Community/Retail Pharmacy in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.