Assured Pharmacies Northwest, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60678575 Issued in WA

Legal business name

ASSURED PHARMACIES NORTHWEST, LLC

Doing business as

Cordant Pharmacy #3

Practice address

1417 116TH Ave NE
Ste 204
Bellevue, WA 98004-3821

Phone

(425) 820-1030

Fax

(425) 820-2247

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Bradley Eckmann

Title

Chief of Staff

Phone

(025) 314-0146

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Cordant Pharmacy #3 Doing business as

Tax ID family

Assured Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Assured Pharmacy

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1134164353
  NPD tax ID
• Assured Pharmacy Northwest Inc.

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1245393016
  NPD tax ID

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1639275209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 E 46TH AVE",
            "address_2": "STE. 650",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393116",
            "telephone_number": "303-749-0490",
            "fax_number": "720-536-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 116TH AVE NE",
            "address_2": "STE 204",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043821",
            "telephone_number": "425-820-1030",
            "fax_number": "425-820-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED PHARMACIES NORTHWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "ECKMANN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "025-314-0146"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60678575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6027577",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordant Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cordant Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bellevue, WA
• Providers in Bellevue, 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 Dec 21, 2020; 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.