NPIMap

Organization Active NPI

Maxor National Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Bothell, WA
National Provider Identifier
1639436728
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60657129 Issued in WA
Legal business name
MAXOR NATIONAL PHARMACY SERVICES LLC
Practice address
1909 214TH St SE Ste 300
Bothell, WA 98021-4418
Phone
(425) 412-6335
Fax
(206) 531-2394
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Authorized official

Name
Joel Wright
Title
President, Pharmacy Services
Phone
(806) 242-7782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.60657129 WA Primary

Addresses

Primary practice location

1909 214TH St SE Ste 300
Bothell, WA 98021-4418

Mailing address

416 S Tyler St
Amarillo, TX 79101-2346
Phone (806) 242-7782

Other identifiers 1

IdentifierTypeStateIssuer
2134702OtherPK

Other names 1

  • Pacific Medical Centers Pharmacy-Canyon Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maxor Natl Pharm SVCS LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770508800000",
    "number": "1639436728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S TYLER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012346",
            "telephone_number": "806-242-7782",
            "fax_number": "206-531-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 214TH ST SE STE 300",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214418",
            "telephone_number": "425-412-6335",
            "fax_number": "206-531-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXOR NATIONAL PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT, PHARMACY SERVICES",
        "authorized_official_telephone_number": "806-242-7782"
    },
    "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.60657129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Medical Centers Pharmacy-Canyon Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Medical Centers Pharmacy-Canyon Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; 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.