Pauls Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PAULS PHARMACY

Practice address

732 Lebo Blvd
Bremerton, WA 98310-3325

Phone

(360) 373-0622

Fax

(360) 377-9202

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Paul Port

Title

Owner

Phone

(360) 373-0622

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1598770190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 LEBO BLVD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 LEBO BLVD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103325",
            "telephone_number": "360-373-0622",
            "fax_number": "360-377-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PORT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-373-0622"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00002273",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6009583",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4915914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayli Patti
• Amelia J Patton
• Jared Michael Patton, M.D.
• Kevin Cosand Patton, MA
• Jessie Paull, M.D.
• Sarah Paulson
• Abigail Payfer
• David Payne
• Joy Payne
• Julie Ann Paynter, DMD

• Community/Retail Pharmacy in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.