Active NPI
Kirks Pharmacy at Hartland, Inc.
Doing business as Kirk's Pharmacy and Compounding
- Community/Retail Pharmacy
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KIRKS PHARMACY AT HARTLAND, INC.
- Doing business as
- Kirk's Pharmacy and Compounding
- Practice address
- 618 S Meridian
Puyallup, WA 98371-5999 - Phone
- (253) 848-2011
- Fax
- (253) 848-3119
- NPI assigned
- Jul 1, 2009
- 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
- Mr. Kirk Heinz, RPH
- Title
- Co-Owner
- Phone
- (360) 832-3121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
618 S Meridian
Puyallup, WA 98371-5999
Mailing address
618 S Meridian
Puyallup, WA 98371-5999
Phone (253) 848-2011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001664 | Medicaid | WA | |
| 2121348 | Other | PK |
Other names 3
- Kirk's Pharmacy and Compounding
- Kirk's Pharmacy Puyallup
- Kirk's Pharmacy at Puyallup
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210122000917 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800200544 | Practice locations: Puyallup, WA |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Kirk's Pharmacy and Compounding
- Long Term Care Pharmacy
- Puyallup, WA
- NPI 1528896453
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Eatonville, WA
- NPI 1942313705
-
- Pharmacist
- Puyallup, WA
- NPI 1598023863
-
- Pharmacist
- Puyallup, WA
- NPI 1376859801
-
- Pharmacist
- Federal Way, WA
- NPI 1780076711
-
- Pharmacist
- Puyallup, WA
- NPI 1730044561
-
- Pharmacist
- Eatonville, WA
- NPI 1265022305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1396973004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983715999",
"telephone_number": "253-848-2011",
"fax_number": "253-848-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983715999",
"telephone_number": "253-848-2011",
"fax_number": "253-848-3119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRKS PHARMACY AT HARTLAND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-01",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "HEINZ",
"authorized_official_first_name": "KIRK",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "360-832-3121",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"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": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2001664",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2121348",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kirk's Pharmacy and Compounding",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kirk's Pharmacy Puyallup",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Kirk's Pharmacy at Puyallup",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.