Lacey Square Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LACEY SQUARE PHARMACY INC

Doing business as

Ready Meds Pharmacy

Practice address

6020 Pacific Ave SE Ste C
Lacey, WA 98503-1319

Phone

(425) 251-6335

Fax

(425) 251-6337

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Anderson Shawn Jolly, RPH

Title

President

Phone

(425) 251-6335

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• READY MEDS PHARMACY Doing business as

Locations

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.

• Julia Kim

  • Pharmacist
  • Lacey, WA
  • NPI 1851970347
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1750948956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST STE 120",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "425-251-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 PACIFIC AVE SE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031319",
            "telephone_number": "425-251-6335",
            "fax_number": "425-251-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-251-6335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA PHARMACY LICENSE",
            "identifier": "PHAR.CF.60953133",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "READY MEDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacey Accident & Injury Rehabilitation LLC
• Lacey Dental, LLC (Comfort Dental Lacey)
• Lacey Medical Clinic PS
• Lacey Nursing Center, Inc. (Roo-Lan Healthcare Center)
• Lacey SNF Operations LLC (Lacey Post Acute & Rehabilitation)
• Kailee Lackey, RN
• Edward Gregory Laclergue, MD
• Sarah Lagrange, LICSW
• Dione Marie Inocentes Laguana, MA, LMHC
• Abigail Lahnert

• Long Term Care Pharmacy in Lacey, WA
• Providers in Lacey, WA by specialty
• Long Term Care Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.