NPIMap

Organization Active NPI

Multicare Health System

Doing business as Mary Bridge Ambulatory Clinic Pharmacy

  • Institutional Pharmacy
  • Tacoma, WA
National Provider Identifier
1710359344
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
60521169 Issued in WA
Legal business name
MULTICARE HEALTH SYSTEM
Doing business as
Mary Bridge Ambulatory Clinic Pharmacy
Practice address
311 S L St
Ms: 311-1-RX
Tacoma, WA 98405-3720
Phone
(253) 403-1411
Fax
(253) 403-1745
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Hien TranNPI 1780949487
Title
Pharmacy Supervisor
Phone
(253) 403-3687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Institutional Pharmacy 3336I0012X 60521169 WA Primary

Addresses

Primary practice location

311 S L St
Ms: 311-1-RX
Tacoma, WA 98405-3720

Mailing address

315 Martin Luther King Jr Way
Ms: 315-C2-RX
Tacoma, WA 98405-4234
Phone (253) 403-1078

Other identifiers 1

IdentifierTypeStateIssuer
2154770OtherPK

Other names 1

  • Mary Bridge Ambulatory Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MMG Westgate Urgent Car99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

311 S L St
#3111
Tacoma, WA 98405
Phone (253) 403-1411

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1710359344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MARTIN LUTHER KING JR WAY",
            "address_2": "MS: 315-C2-RX",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054234",
            "telephone_number": "253-403-1078",
            "fax_number": "253-403-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S L ST",
            "address_2": "MS: 311-1-RX",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053720",
            "telephone_number": "253-403-1411",
            "fax_number": "253-403-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HIEN",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "253-403-3687"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WA",
            "license": "60521169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Bridge Ambulatory Clinic Pharmacy",
            "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 22, 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.

Verify at the official NPI Registry.