NPIMap

Organization Active NPI

King County Finance

Doing business as Eastgate Public Health Pharmacy

  • Clinic Pharmacy
  • Bellevue, WA
National Provider Identifier
1598831877
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHAR.CF.60490760 Issued in WA
Legal business name
KING COUNTY FINANCE
Doing business as
Eastgate Public Health Pharmacy
Practice address
14350 SE Eastgate Way
Bellevue, WA 98007-6458
Phone
(206) 477-8190
Fax
(206) 205-8980
NPI assigned
Nov 28, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Kevin Ardell Moe
Title
Practice Management Administrator
Phone
(206) 263-8807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHAR.CF.60490760 WA Primary

Addresses

Primary practice location

14350 SE Eastgate Way
Bellevue, WA 98007-6458

Mailing address

14350 SE Eastgate Way
Bellevue, WA 98007-6458
Phone (206) 296-4908

Other identifiers 2

IdentifierTypeStateIssuer
6005060MedicaidWA
2108127OtherPK

Other names 1

  • EASTGATE PUBLIC HEALTH PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seattle KS Dept of Pub27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1598831877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 SE EASTGATE WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076458",
            "telephone_number": "206-296-4908",
            "fax_number": "206-205-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 SE EASTGATE WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076458",
            "telephone_number": "206-477-8190",
            "fax_number": "206-205-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING COUNTY FINANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ARDELL",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT ADMINISTRATOR",
        "authorized_official_telephone_number": "206-263-8807"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60490760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005060",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTGATE PUBLIC HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EASTGATE PUBLIC HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.