Active NPI
Puget Sound Pharmacy LLC
- Community/Retail Pharmacy
- Tacoma, WA
National Provider Identifier
1619205267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF60114820
- Legal business name
- PUGET SOUND PHARMACY LLC
- Doing business as
- Puget Sound Pharmacy, LLC
- Practice address
- 1112 6TH Ave Ste 101
Tacoma, WA 98405-4048 - Phone
- (253) 572-0180
- Fax
- (253) 561-0018
- NPI assigned
- Nov 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rosalie Nguyen, PHARMD
- Title
- Manager
- Phone
- (253) 572-0180
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | CF60114820 | WA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1112 6TH Ave Ste 101
Tacoma, WA 98405-4048
Mailing address
1112 6TH Ave
Ste 101
Tacoma, WA 98405-4040
Phone (253) 572-0180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4933570 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Puget Sound Pharmacy, LLC
National Provider Directory
National Provider DirectoryLocations
1112 6th Ave
Ste 101
Tacoma, WA 98405
Phone (253) 272-1107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314662400000",
"number": "1619205267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 6TH AVE",
"address_2": "STE 101",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054040",
"telephone_number": "253-572-0180",
"fax_number": "253-561-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 6TH AVE STE 101",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054048",
"telephone_number": "253-572-0180",
"fax_number": "253-561-0018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUGET SOUND PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-19",
"last_updated": "2011-08-30",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "ROSALIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "253-572-0180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "CF60114820",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4933570",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Puget Sound Pharmacy, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.