Organization Active NPI

Ets Consulting LLC

  • Long Term Care Pharmacy
  • Mountlake Terrace, WA
National Provider Identifier
1437708641
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ETS CONSULTING LLC
Practice address
24255 Van Ry Blvd Ste A1
Mountlake Terrace, WA 98043-5460
Phone
(425) 672-5810
Fax
(425) 672-5811
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Lisa Marie Anderson
Title
General Manager
Phone
(425) 672-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

24255 Van Ry Blvd Ste A1
Mountlake Terrace, WA 98043-5460

Mailing address

24255 Van Ry Blvd Ste A1
Mountlake Terrace, WA 98043-5460
Phone (425) 672-5810

Other identifiers 1

IdentifierTypeStateIssuer
6028393MedicaidWA

Other names 1

  • Axis LTC Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.axispharmacynw.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191125001543 WA Part B Supplier - Pharmacy 2567793805 Practice locations: Mountlake Terrace, WA

National Provider Directory

National Provider Directory

Locations

6007 244th St SW
Ste A1
Mountlake Terrace, WA 98043
Phone (425) 356-3276

24255 Van Ry Blvd
Ste A1
Mountlake Terrace, WA 98043
Phone (425) 672-5810

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1437708641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24255 VAN RY BLVD STE A1",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435460",
            "telephone_number": "425-672-5810",
            "fax_number": "425-672-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24255 VAN RY BLVD STE A1",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435460",
            "telephone_number": "425-672-5810",
            "fax_number": "425-672-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "425-672-5800"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6028393",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.axispharmacynw.com",
            "affiliation": "N",
            "endpointDescription": "Axis Pharmacy website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24255 Van Ry Blvd Ste A1",
            "city": "Mountlake Terrace",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980435460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Axis LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.