Madison Park Pharmacy and Wellness Center LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MADISON PARK PHARMACY AND WELLNESS CENTER LLC

Practice address

4130 E Madison St
Seattle, WA 98112-3231

Phone

(206) 347-4644

Fax

(206) 480-1739

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Jeffrey S Harrell, PHARMD

Title

President

Phone

(360) 859-8659

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Madison Park Pharmacy and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matt Binder

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Seattle, WA
  • NPI 1386063014
  NPD
• Leo Yang, PHARMD

  • Pharmacist
  • Kent, WA
  • NPI 1457949844
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1750081030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123231",
            "telephone_number": "206-347-4644",
            "fax_number": "206-480-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PARK PHARMACY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-859-8659",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2247212",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Park Pharmacy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nirupama Madhavan
• Bayan Madieh, RPH
• Nagham Ahmad Shaker Madieh, RPH
• Elizabeth N Madigan
• Evan Samuel Madill, MD
• Madison Tower Plastic Surgery
• Trilisa Madison, ND
• Charles Madrid I, RN
• Madrona Clinics, PLLC
• Madrona Health, LLC

• Community/Retail Pharmacy in Seattle, WA
• Providers in Seattle, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.