Organization Active NPI

Well Loved Inc

  • Pharmacy
  • Federal Way, WA
National Provider Identifier
1487102760
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHAR.CF.60697554 Issued in WA
Legal business name
WELL LOVED INC
Practice address
31217 Pacific Hwy S # a-101
A-101
Federal Way, WA 98003-5401
Phone
(253) 642-7850
Fax
(253) 642-7849
NPI assigned
Sep 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Hyun Suk Yoon, RPH
Title
Pharmacist/Owner
Phone
(650) 889-6604

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHAR.CF.60697554 WA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

31217 Pacific Hwy S # a-101
A-101
Federal Way, WA 98003-5401

Mailing address

31217 Pacific Hwy S
A-101
Federal Way, WA 98003-5401
Phone (253) 642-7850

Other identifiers 1

IdentifierTypeStateIssuer
2166054OtherPK

Other names 1

  • Angel Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517002326 WA Part B Supplier - Mass Immunization (Roster Biller Only) 7113294489 Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

31217 Pacific Hwy S
Ste A101
Federal Way, WA 98003
Phone (253) 642-7850

31217 Pacific Hwy S
#A101A101
Federal Way, WA 98003
Phone (253) 642-7850

31217 Pacific Hwy S
#A101
Federal Way, WA 98003
Phone (253) 642-7850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1487102760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31217 PACIFIC HWY S",
            "address_2": "A-101",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035401",
            "telephone_number": "253-642-7850",
            "fax_number": "253-642-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31217 PACIFIC HWY S # A-101",
            "address_2": "A-101",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035401",
            "telephone_number": "253-642-7850",
            "fax_number": "253-642-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LOVED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "HYUN SUK",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "650-889-6604",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60697554",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.