Summit Trading Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00005161 Issued in WA

Legal business name

SUMMIT TRADING CO INC

Doing business as

Summit Trading Pharmacy

Practice address

10409 Canyon Rd E
Puyallup, WA 98373-4252

Phone

(253) 840-2098

Fax

(253) 840-0308

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Jennifer Crutcher, RPH

Title

Pic

Phone

(253) 840-2098

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUMMIT TRADING PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1437152238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734252",
            "telephone_number": "253-840-2098",
            "fax_number": "253-840-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734252",
            "telephone_number": "253-840-2098",
            "fax_number": "253-840-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT TRADING CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "CRUTCHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "253-840-2098",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00005161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6015192",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4924266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMIT TRADING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan L. Sullivan, MD
• Brandy Nicole Summers, LMP
• Ryan Summers
• Summit Behavioral Solutions, LLC
• Summit Pacific Rehabilitation
• Summit View Clinic, Inc., P.S.
• Nicholas H. Sun, D.O.
• Sunbreak Anesthesia Services
• Jessica D Sundahl, L.M.P
• Sung Lee DMD PS

• Community/Retail Pharmacy in Puyallup, WA
• Providers in Puyallup, 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 Oct 4, 2011; 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.