Kirks Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KIRKS PHARMACY INC

Practice address

104 Mashell Ave N
Eatonville, WA 98328-8936

Phone

(360) 832-3121

Fax

(360) 832-4520

NPI assigned

Aug 20, 2006

Last updated

Aug 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirk Heinz, RPHNPI 1942313705

Title

Co-Owner

Phone

(360) 832-3121

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 2

• Kirk's Pharmacy Other name
• Kirk's Pharmacy at Eatonville Other name

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk Foster Heinz, RPH

  • Pharmacist
  • Eatonville, WA
  • NPI 1942313705
  NPD (past) Authorized official
• Dayl Eccles, PHARMD

  • Pharmacist
  • Puyallup, WA
  • NPI 1598023863
  NPD
• Andrew Kelly Heinz, PHARMD

  • Pharmacist
  • Puyallup, WA
  • NPI 1376859801
  NPD (past)
• Richard Holley Jr., PHARMD

  • Pharmacist
  • Federal Way, WA
  • NPI 1780076711
  NPD (past)
• Richard Hugh Mackey Jr., PHARM D

  • Pharmacist
  • Eatonville, WA
  • NPI 1124776075
  NPD (past)
• Julie Ann Mann, RPH

  • Pharmacist
  • Eatonville, WA
  • NPI 1720429590
  NPD (past)
• Melanie J Reineke, PHARMD

  • Pharmacist
  • Eatonville, WA
  • NPI 1265022305
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1700991759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983280099",
            "telephone_number": "360-832-3121",
            "fax_number": "360-832-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MASHELL AVE N",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983288936",
            "telephone_number": "360-832-3121",
            "fax_number": "360-832-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HEINZ",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-832-3121",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "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
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016980",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirk's Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kirk's Pharmacy at Eatonville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brooke Elizabeth Johnson, LMP
• Gretchen Christine Jones, LM
• Heather Grace Juan, OTR/L
• Peter J. Karlin, M.D.
• Jocelyn Alyce Keeley, ARNP, PMHNP-C
• Annette Lachapelle, LMP
• Shanna Pearl Littrell, LMP
• Gloria Vaneaton Lowe, MD
• Richard Hugh Mackey Jr., PHARM D
• Julie Ann Mann, RPH

• Community/Retail Pharmacy in Eatonville, WA
• Providers in Eatonville, 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 Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.