NPIMap

Organization Active NPI

Schaffner Pharmacy Inc

  • Community/Retail Pharmacy
  • Sedro Woolley, WA
National Provider Identifier
1467966457
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60816118 Issued in WA
Legal business name
SCHAFFNER PHARMACY INC
Practice address
339 Ferry St
Sedro Woolley, WA 98284-1412
Phone
(360) 853-2003
Fax
(360) 853-2004
NPI assigned
Nov 29, 2017
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Christopher J SchaffnerNPI 1013125665
Title
Owner
Phone
(360) 853-2003

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinical Pharmacology Physician 208U00000X NU
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X NU
Community/Retail Pharmacy 3336C0003X PHAR.CF.60816118 WA Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

339 Ferry St
Sedro Woolley, WA 98284-1412

Mailing address

339 Ferry St
Sedro Woolley, WA 98284-1412
Phone (360) 853-2003

Other identifiers 2

IdentifierTypeStateIssuer
2174998OtherPK
2094462MedicaidWA

Other names 1

  • Schaffner Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180315001217 WA Part B Supplier - Pharmacy 0840552600 Practice locations: Sedro Woolley, WA
O20201223001324 WA Part B Supplier - Independent Clinical Laboratory 0840552600 Practice locations: Sedro Woolley, WA

National Provider Directory

National Provider Directory
Tax ID family
Schaffner Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1990 Hospital Dr
Ste 120
Sedro Woolley, WA 98284
Phone (360) 853-2003

339 Ferry St
Sedro Woolley, WA 98284
Phone (360) 853-2003

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": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1467966457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 FERRY ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841412",
            "telephone_number": "360-853-2003",
            "fax_number": "360-853-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 FERRY ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841412",
            "telephone_number": "360-853-2003",
            "fax_number": "360-853-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAFFNER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2022-07-22",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHAFFNER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-853-2003"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60816118",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174998",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094462",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schaffner Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Schaffner Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.