Organization Active NPI

Port Townsend Pharmacy Inc.

Doing business as Don's Pharmacy

  • Community/Retail Pharmacy
  • Port Townsend, WA
National Provider Identifier
1528199619
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PORT TOWNSEND PHARMACY INC.
Doing business as
Don's Pharmacy
Practice address
1151 Water St
Port Townsend, WA 98368-6707
Phone
(360) 385-0969
Fax
(360) 385-2843
NPI assigned
Mar 8, 2007
Last updated
Sep 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Theodore PerilloNPI 1932511185
Title
Admin
Phone
(253) 473-1155

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1151 Water St
Port Townsend, WA 98368-6707

Mailing address

1151 Water St
Port Townsend, WA 98368-6707
Phone (360) 385-0969

Other names 1

  • Don's Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230718003623 WA Part B Supplier - Mass Immunization (Roster Biller Only) 9133589435 Practice locations: Port Townsend, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2245883Don's Pharmacy1151 Water St, Port Townsend, WA 98368Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1528199619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 WATER ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686707",
            "telephone_number": "360-385-0969",
            "fax_number": "360-385-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 WATER ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686707",
            "telephone_number": "360-385-0969",
            "fax_number": "360-385-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT TOWNSEND PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "PERILLO",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "253-473-1155"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Don's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.