NPIMap

Organization Active NPI

Virginia Mason Medical Center

  • Clinic Pharmacy
  • Seattle, WA
National Provider Identifier
1700880291
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
CF00003715 Issued in WA
Legal business name
VIRGINIA MASON MEDICAL CENTER
Practice address
1201 Terry Ave
Seattle, WA 98101-2735
Phone
(206) 625-7202
Fax
(206) 625-7216
NPI assigned
Jun 13, 2005
Organization subpart
Yes
Parent organization
VIRGINIA MASON MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Adam Ricceri
Title
Supervisor
Phone
(206) 341-0550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X CF00003715 WA Primary

Addresses

Primary practice location

1201 Terry Ave
Seattle, WA 98101-2735

Mailing address

1201 Terry Ave
Seattle, WA 98101-2735
Phone (206) 625-7202

Other identifiers 2

IdentifierTypeStateIssuer
6008452MedicaidWA
2108790OtherPK

Other names 1

  • Virginia Mason LINDEMAN PAVILION PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930064275 WA DME Supplier - PharmacyDME Supplier - Orthotic Personnel 9830002617 1 other NPI on this enrollment
Practice locations: Seattle, WA

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Virginia Mason Occup Me42 organizations share this tax ID, including this one
Part of
Virginia Mason Occup Me

Other organizations with this tax ID 41

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

View all 41

Locations (25 of 73)

1120 Route 73
Ste 300N
Mount Laurel, NJ 08054

1344 Wintergreen Ln NE
#A
Bainbridge Island, WA 98110

1280 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 646-0922

7315 212th St SW
Ste 101107
Edmonds, WA 98026

7315 212th St SW
Ste 207
Edmonds, WA 98026
Phone (425) 775-9474

1800 41st St
Everett, WA 98203
Phone (425) 259-1180

100 NE Gilman Blvd
#A
Issaquah, WA 98027

12040 NE 128th St
Stop 50
Kirkland, WA 98034

620 5th Ave S
Fl 2
Kirkland, WA 98033
Phone (425) 814-5100

11911 NE 132nd St
Ste 200
Kirkland, WA 98034
Phone (425) 899-5800

19125 33rd Ave W
Lynnwood, WA 98036

19116 33rd Ave W
#A
Lynnwood, WA 98036

2700 152nd Ave NE
Redmond, WA 98052
Phone (425) 838-5151

1201 Terry Ave
#X1
Seattle, WA 98101
Phone (206) 223-6729

1100 9th Ave
Ste G250B
Seattle, WA 98101

1100 9th Ave
#H4483
Seattle, WA 98101

1201 Terry Ave
#X3
Seattle, WA 98101

925 Seneca St
#H3
Seattle, WA 98101
Phone (206) 223-6945

1100 9th Ave
#H4461
Seattle, WA 98101
Phone (206) 625-7373

925 Seneca St
Ste H4
Seattle, WA 98101

925 Seneca St
#G
Seattle, WA 98101

925 Seneca St
#H825
Seattle, WA 98101

1201 Terry Ave
#3
Seattle, WA 98101

1201 Terry Ave
#X8
Seattle, WA 98101

1100 9th Ave
Ste C2
Seattle, WA 98101

Practitioners & affiliated clinicians

Practitioners 923

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 923

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1700880291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TERRY AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012735",
            "telephone_number": "206-625-7202",
            "fax_number": "206-625-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERRY AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012735",
            "telephone_number": "206-625-7202",
            "fax_number": "206-625-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MASON MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA MASON MEDICAL CENTER",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "RICCERI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "206-341-0550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WA",
            "license": "CF00003715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008452",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Mason LINDEMAN PAVILION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.