NPIMap

Organization Active NPI

Maxor National Pharmacy Services LLC

Doing business as Pacific Medical Center Pharmacy Canyon Park

  • Clinic Pharmacy
  • Bothell, WA
National Provider Identifier
1720301203
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHAR.CF.60657129 Issued in WA
Legal business name
MAXOR NATIONAL PHARMACY SERVICES LLC
Doing business as
Pacific Medical Center Pharmacy Canyon Park
Practice address
1909 214TH St SE Ste 300
Bothell, WA 98021-4418
Phone
(425) 412-6335
Fax
(206) 531-2394
NPI assigned
Mar 11, 2010
Last updated
Feb 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Authorized official

Name
Joel Wright
Title
President, Pharmacy Services
Phone
(806) 242-7882

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X PHAR.CF.60657129 WA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1909 214TH St SE Ste 300
Bothell, WA 98021-4418

Mailing address

416 S Tyler St
Amarillo, TX 79101-2346
Phone (806) 242-7782

Other names 1

  • Pacific Medical Center Pharmacy Canyon Park Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513001038 WA Part B Supplier - Pharmacy 9830219351 3 other NPIs on this enrollment
Practice locations: Bothell, WA; Seattle, WA

Other NPIs with the same Medicare PAC ID 3

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

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
Maxor National Pharmacy Services LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770508800000",
    "number": "1720301203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S TYLER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012346",
            "telephone_number": "806-242-7782",
            "fax_number": "206-531-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 214TH ST SE STE 300",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214418",
            "telephone_number": "425-412-6335",
            "fax_number": "206-531-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXOR NATIONAL PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT, PHARMACY SERVICES",
        "authorized_official_telephone_number": "806-242-7882"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60657129",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Medical Center Pharmacy Canyon Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Medical Center Pharmacy Canyon Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; 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.