NPIMap

Organization Active NPI

Washington State Department of Social and Health Services

Doing business as Rainier School Pharmacy

  • Long Term Care Pharmacy
  • Buckley, WA
National Provider Identifier
1740355320
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
FL00000713 Issued in WA
Legal business name
WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Doing business as
Rainier School Pharmacy
Practice address
2120 Ryan Rd
Buckley, WA 98321-9115
Phone
(360) 829-3415
Fax
(360) 829-3076
NPI assigned
Nov 21, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Guy Kuestermeyer, PHARM D
Title
Pharmacy Director
Phone
(360) 829-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X FL00000713 WA Primary

Addresses

Primary practice location

2120 Ryan Rd
Buckley, WA 98321-9115

Mailing address

2120 Ryan Rd
Buckley, WA 98321-9115

Other identifiers 1

IdentifierTypeStateIssuer
4902664OtherOTHER ID NUMBER

Other names 1

  • Rainier School Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rainier School Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2120 Ryan Rd
Buckley, WA 98321
Phone (360) 829-1111

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1740355320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 RYAN RD",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983219115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 RYAN RD",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983219115",
            "telephone_number": "360-829-3415",
            "fax_number": "360-829-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KUESTERMEYER",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "360-829-3415",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "FL00000713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4902664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier School Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.