Active NPI
Lincoln Pharmacy LLC
Doing business as Lincoln Pharmacy LTC
- Long Term Care Pharmacy
- Tacoma, WA
National Provider Identifier
1710015912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- CF00058298
- Legal business name
- LINCOLN PHARMACY LLC
- Doing business as
- Lincoln Pharmacy LTC
- Practice address
- 821B S 38TH St
Tacoma, WA 98418 - Phone
- (253) 473-1155
- Fax
- (253) 473-1158
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Odonnell, PHARMD
- Title
- Owner
- Phone
- (253) 473-1155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | CF00058298 | WA | Primary |
Addresses
Primary practice location
821B S 38TH St
Tacoma, WA 98418
Mailing address
821B S 38TH St
Tacoma, WA 98418
Phone (253) 473-1155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6028914 | Medicaid | WA | |
| 2108644 | Other | PK |
Other names 1
- LINCOLN PHARMACY LTC
National Provider Directory
National Provider Directory- Tax ID family
- Lincoln Pharmacy LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Tacoma, WA
- NPI 1477361814
Locations
821 S 38th St
#B
Tacoma, WA 98418
Phone (253) 473-1155
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tacoma, WA
- NPI 1730145137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445990400000",
"number": "1710015912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821B S 38TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "98418",
"telephone_number": "253-473-1155",
"fax_number": "253-473-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821B S 38TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "98418",
"telephone_number": "253-473-1155",
"fax_number": "253-473-1158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2015-10-28",
"status": "A",
"authorized_official_last_name": "ODONNELL",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-473-1155",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "WA",
"license": "CF00058298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6028914",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2108644",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LINCOLN PHARMACY LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.