Organization Active NPI

Kirks Pharmacy at Hartland, Inc.

Doing business as Kirk's Pharmacy and Compounding

  • Community/Retail Pharmacy
  • Puyallup, WA
National Provider Identifier
1396973004
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Mr. Kirk Heinz, RPHNPI 1942313705
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)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2001664MedicaidWA
2121348OtherPK

Other names 3

  • Kirk's Pharmacy and Compounding Doing business as
  • Kirk's Pharmacy Puyallup Other name
  • Kirk's Pharmacy at Puyallup Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210122000917 WA Part B Supplier - Mass Immunization (Roster Biller Only) 6800200544 Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Ownership & 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.

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.

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.

Verify at the official NPI Registry.