NPIMap

Organization Active NPI

Specialty Pharmacies Inc

  • Specialty Pharmacy
  • Seattle, WA
National Provider Identifier
1508028390
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
CF60029140 Issued in WA
Legal business name
SPECIALTY PHARMACIES INC
Practice address
1017 E Union St
Seattle, WA 98122-3824
Phone
(206) 568-2486
Fax
(206) 568-3233
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Donna Tempesta, R.PH.
Title
VP of Finance
Phone
(631) 547-6520

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X CF60029140 WA Primary

Addresses

Primary practice location

1017 E Union St
Seattle, WA 98122-3824

Mailing address

PO Box 637308
Cincinnati, OH 45263-7308
Phone (206) 568-2486

Other identifiers 1

IdentifierTypeStateIssuer
4933087OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MOMS Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
2ND Street Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1017 E Union St
Seattle, WA 98122
Phone (206) 471-2177

Practitioners & affiliated clinicians

Practitioners 1

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": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1508028390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637308",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637308",
            "telephone_number": "206-568-2486",
            "fax_number": "206-568-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E UNION ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223824",
            "telephone_number": "206-568-2486",
            "fax_number": "206-568-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "TEMPESTA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "631-547-6520",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "WA",
            "license": "CF60029140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4933087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOMS Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.