Medical Center Pharmacy Associates, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHAR.CF.60812480 Issued in WA

Legal business name

MEDICAL CENTER PHARMACY ASSOCIATES, INC.

Practice address

450 NW Gilman Blvd Ste 107
Issaquah, WA 98027-2483

Phone

(425) 392-8650

NPI assigned

Feb 2, 2018

Organization subpart

No

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

Authorized official

Name

Bryan LaiNPI 1295783686

Title

President

Phone

(206) 979-9015

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medical Center Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Bryan Yuk Kwan Lai, BSC. PHARM

  • Pharmacist
  • Seattle, WA
  • NPI 1295783686
  NPD Authorized official

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1609375898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CLAY ST APT 721",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981214123",
            "telephone_number": "206-979-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD STE 107",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-392-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-979-9015"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60812480",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60812480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "PHAR.CF.60812480",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carly Ann McLenegan, MSW
• Kimberly Paige McMartin, LMHC
• Thomas Downing Meacham, M.D.
• Meadow Creek Family Medicine
• Medcare Clinics LTD
• Marj Medina, RN BAN CCRC CCM
• Clemence Mendoza, OD
• Xia Meng, LMHCA
• Virginia D Menting, PT
• Molly Menzie, M.S. CCC-SLP

• Compounding Pharmacy in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Compounding Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.