Organization Active NPI

Pharmacy Plus Inc

  • Community/Retail Pharmacy
  • Bellevue, WA
National Provider Identifier
1598987745
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00057310 Issued in WA
Legal business name
PHARMACY PLUS INC
Doing business as
Pharmacy Plus Inc
Practice address
1299 156TH Ave NE
Ste 140
Bellevue, WA 98007-4599
Phone
(425) 644-8887
Fax
(425) 644-8615
NPI assigned
May 3, 2007
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Boris Povzner
Title
VP and Managing Partner
Phone
(425) 644-8887

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X CF00057310 WA Primary

Addresses

Primary practice location

1299 156TH Ave NE
Ste 140
Bellevue, WA 98007-4599

Mailing address

1299 156TH Ave NE
Ste 140
Bellevue, WA 98007-4599
Phone (425) 644-8887

Other identifiers 2

IdentifierTypeStateIssuer
4926676OtherNCPDP PROVIDER IDENTIFICATION NUMBER
6021620MedicaidWA

Other names 1

  • PHARMACY PLUS INC Doing business as

National Provider Directory

National Provider Directory

Locations

1299 156th Ave NE
Ste 140
Bellevue, WA 98007
Phone (425) 644-8887

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1598987745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 156TH AVE NE",
            "address_2": "STE 140",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074599",
            "telephone_number": "425-644-8887",
            "fax_number": "425-644-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 156TH AVE NE",
            "address_2": "STE 140",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074599",
            "telephone_number": "425-644-8887",
            "fax_number": "425-644-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "POVZNER",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "VP AND MANAGING PARTNER",
        "authorized_official_telephone_number": "425-644-8887"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00057310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4926676",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6021620",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY PLUS INC",
            "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 Mar 20, 2012; 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.