NPIMap

Organization Active NPI

Bond Enterprises Inc

  • Community/Retail Pharmacy
  • Gig Harbor, WA
National Provider Identifier
1720182140
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00002146 Issued in WA
Legal business name
BOND ENTERPRISES INC
Practice address
4700 Point Fosdick Dr NW Ste 120
Gig Harbor, WA 98335-1706
Phone
(253) 858-9941
Fax
(253) 853-7828
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Tammy Kvinsland
Title
Contract Admin
Phone
(253) 858-9941

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X CF00002146 WA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4700 Point Fosdick Dr NW Ste 120
Gig Harbor, WA 98335-1706

Mailing address

4700 Point Fosdick Dr NW
Ste 120
Gig Harbor, WA 98335-1706
Phone (253) 858-9941

Other identifiers 2

IdentifierTypeStateIssuer
6118806MedicaidWA
2106780OtherPK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122001245 WA Part B Supplier - Mass Immunization (Roster Biller Only) 0648235382 Practice locations: Gig Harbor, WA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Bond Enterprises Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1720182140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW",
            "address_2": "STE 120",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-858-9941",
            "fax_number": "253-853-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW STE 120",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-858-9941",
            "fax_number": "253-853-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "KVINSLAND",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CONTRACT ADMIN",
        "authorized_official_telephone_number": "253-858-9941"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00002146",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6118806",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.