Bridgeport Family Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRIDGEPORT FAMILY PHARMACY

Practice address

30809 1St Ave S Ste K
Federal Way, WA 98003-4074

Phone

(253) 839-3100

Fax

(253) 941-4310

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Roibert Doud

Title

Manager

Phone

(253) 238-2230

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FAMILY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689616468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W STE 207",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30809 1ST AVE S STE K",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034074",
            "telephone_number": "253-839-3100",
            "fax_number": "253-941-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DOUD",
        "authorized_official_first_name": "ROIBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-238-2230"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4903832",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6028328",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elliot Spencer Breshears, MD
• Bret Jacobson DDS PS
• Stephanie Lynne Brickner, MS LMFT
• Robert Stuart Bridge Jr., M.D.
• Theodore Allen Bridge, M.D.
• Erica Bridges
• Bridging Care, LLC
• Brighton Rehabilitation LLC
• Bristol Hospice, L.L.C.
• Patricia Grace Brockwell, LMP

• Community/Retail Pharmacy in Federal Way, WA
• Providers in Federal Way, 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 Sep 11, 2025; 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.