Northwest Pharmaceutical Compounding, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHAR.CF60129620 Issued in WA

Legal business name

NORTHWEST PHARMACEUTICAL COMPOUNDING, INC

Practice address

15407 Main St
Ste 104
Mill Creek, WA 98012-7375

Phone

(425) 385-2400

Fax

(425) 385-3969

NPI assigned

Aug 20, 2010

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Shannon Jones, RPHNPI 1457765364

Title

Owner/Head Pharmacist

Phone

(425) 385-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northwest Pharmaceutical Compounding Inc2 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.

• Northwest Pharmaceutical Compounding, Inc

  • Compounding Pharmacy
  • Mill Creek, WA
  • NPI 1952674541
  NPD tax ID

Locations

Practitioners 1

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.

• Michael Shannon Jones, RPH

  • Pharmacist
  • Mill Creek, WA
  • NPI 1457765364
  NPD (past) Authorized official

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1578879144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15407 MAIN ST",
            "address_2": "STE 104",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127375",
            "telephone_number": "425-385-2400",
            "fax_number": "425-385-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15407 MAIN ST",
            "address_2": "STE 104",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127375",
            "telephone_number": "425-385-2400",
            "fax_number": "425-385-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHARMACEUTICAL COMPOUNDING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/HEAD PHARMACIST",
        "authorized_official_telephone_number": "425-385-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PHAR.CF60129620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASH STATE BOARD OF PHARMACY",
            "identifier": "PHAR.CF60129620",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Nishimura, MD MS
• North Sound Dermatology P.C., Inc.
• North Sound Pediatrics
• Marissa Northup
• Northwest Mental Health Alliance NP PC
• Northwest Pharmaceutical Compounding, Inc
• Nouvelle Health
• Miguel Tomas Nunez Burgos, MD
• Claudia Angelica Nunez, MEDICAL INTERPRETER
• Michael A O'Connell, PHD, MSW

• Pharmacist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.