Active NPI
Ets Consulting LLC
- Long Term Care Pharmacy
- Mountlake Terrace, WA
National Provider Identifier
1437708641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6028393 | Medicaid | WA |
Other names 1
- Axis LTC Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.axispharmacynw.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191125001543 | WA | Part B Supplier - Pharmacy | 2567793805 | Practice locations: Mountlake Terrace, WA |
National Provider Directory
National Provider DirectoryLocations
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.