Washington CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WASHINGTON CVS PHARMACY LLC

Practice address

1609 East Main Street
Freeland, WA 98249

Phone

(360) 331-4700

Fax

(360) 331-4702

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Sr. Director, Payer Relations

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other names 2

• CVS Pharmacy #11645 Doing business as
• RITE AID PHARMACY 06722 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Washinton CVS Pharmacy LLC91 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Washington CVS Pharmacy LLC

  • Pharmacy
  • Kennewick, WA
  • NPI 1215950514
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Redmond, WA
  • NPI 1245313592
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Seattle, WA
  • NPI 1245340926
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Mill Creek, WA
  • NPI 1245349562
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Gig Harbor, WA
  • NPI 1255347548
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Seattle, WA
  • NPI 1255433652
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Tukwila, WA
  • NPI 1295757987
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Issaquah, WA
  • NPI 1295757995
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Bellingham, WA
  • NPI 1306852611
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Puyallup, WA
  • NPI 1346498797
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Edmonds, WA
  • NPI 1356459960
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Bainbridge Island, WA
  • NPI 1376559658
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1356748255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 EAST MAIN STREET",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "98249",
            "telephone_number": "360-331-4700",
            "fax_number": "360-331-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #11645",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RITE AID PHARMACY 06722",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Vollan, PHYSICAL THERAPIST
• Ryan Martin Vos, L.AC.
• Robert D Wagner, M.D.
• Susan Nellist Walker, MA CCC
• Rui Wang
• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District
• Whidbey Island Therapy Center
• Whidbey Medical Equipment Supply LLC
• Whidbey Performance Physical Therapy, PLLC

• Pharmacy in Freeland, WA
• Providers in Freeland, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.