Woodinville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WOODINVILLE PHARMACY INC

Practice address

17000 140TH Ave NE Unit E101
Woodinville, WA 98072-6903

Phone

(425) 485-2900

Fax

(425) 481-5064

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth A. Ficklin

Title

Phamacist Co-Owner

Phone

(425) 485-2900

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Woodinville Medical Center Pharmacy Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Faulkner, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Woodinville, WA
  • NPI 1326586579
  NPD
• Jennifer Nicole Blachly, PHARMD

  • Pharmacist
  • Woodinville, WA
  • NPI 1902344161
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1598837585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE UNIT E101",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726903",
            "telephone_number": "425-485-2900",
            "fax_number": "425-481-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE UNIT E101",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726903",
            "telephone_number": "425-485-2900",
            "fax_number": "425-481-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODINVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FICKLIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHAMACIST CO-OWNER",
        "authorized_official_telephone_number": "425-485-2900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4921222",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044895",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABOR AND INDUSTRIE",
            "identifier": "60467",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodinville Medical Center Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Woodinville Health
• Woodinville Natural Health LLC
• Woodinville Oral Surgery
• Woodinville Pediatrics
• Woodinville Pediatrics PLLC
• Woodinville Primary Chiropractic and Spa
• Rachel Wright, LM CPM MSM
• Tammy L Wright, LICSW
• Wu & Dowd PLLC
• Ken Duong Wu, DDS

• Community/Retail Pharmacy in Woodinville, WA
• Providers in Woodinville, 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 Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.