Organization Active NPI

Healthpoint

Doing business as HealthPoint Bothell Pharmacy

  • Community/Retail Pharmacy
  • Bothell, WA
National Provider Identifier
1417212911
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF60308516 Issued in WA
Legal business name
HEALTHPOINT
Doing business as
HealthPoint Bothell Pharmacy
Practice address
10414 Beardslee Blvd Ste 201
Ste 201
Bothell, WA 98011-3205
Phone
(877) 233-0246
Fax
(425) 487-6761
NPI assigned
Jul 10, 2012
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Vicki Hammond
Title
Cfo
Phone
(425) 203-0416

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X PHARCF60308516 WA Primary

Addresses

Primary practice location

10414 Beardslee Blvd Ste 201
Ste 201
Bothell, WA 98011-3205

Mailing address

955 Powell Ave SW Ste 1
Suite 1
Renton, WA 98057-2908
Phone (425) 277-1311

Other names 1

  • HealthPoint Bothell Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122003185 WA Part B Supplier - Pharmacy 9335042886 10 other NPIs on this enrollment
Practice locations: Tukwila, WA; Seatac, WA; Bothell, WA; Renton, WA; Redmond, WA; Kent, WA; Federal Way, WA; Auburn, WA…

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Joames E Olson MD42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

955 Powell Ave SW
Ste 1
Renton, WA 98057

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1417212911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW STE 1",
            "address_2": "SUITE 1",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 BEARDSLEE BLVD STE 201",
            "address_2": "STE 201",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113205",
            "telephone_number": "877-233-0246",
            "fax_number": "425-487-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-203-0416"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF60308516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPoint Bothell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.