Fidalgo Pharmacy Services, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FIDALGO PHARMACY SERVICES, INC

Doing business as

Medicap Pharmacy

Practice address

1415 Commercial Ave Ste B
Anacortes, WA 98221-2232

Phone

(360) 299-2374

Fax

(360) 293-0945

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

John Thompson, RPH

Title

Owner Pharmacist

Phone

(360) 299-2374

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medicap Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649364951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 COMMERCIAL AVE STE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 COMMERCIAL AVE STE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212232",
            "telephone_number": "360-299-2374",
            "fax_number": "360-293-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDALGO PHARMACY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "360-299-2374",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF56252",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6021869",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4925042",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fidalgo Functional Physical Therapy (McPhee Physical Therapy)
• Fidalgo Island Chiropractic Clinic
• Fidalgo Island Pediatric Occupational Therapy Services PLLC
• Fidalgo Island Walk-in Clinic
• Fidalgo Medical Associates PLLC
• Fidalgo Sports and Physiatry
• Dana Marie Fischer, MA00024010
• Janet Fischer, LSWAA
• Vicki Fishfader
• Ellen L Fitch

• Community/Retail Pharmacy in Anacortes, WA
• Providers in Anacortes, 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 Mar 7, 2023; 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.