Organization Active NPI

Apothecary Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Bremerton, WA
National Provider Identifier
1770606139
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00002158 Issued in WA
Legal business name
APOTHECARY SHOPPE PHARMACY
Practice address
2500 Cherry Ave
Suite Number 101
Bremerton, WA 98310-4202
Phone
(360) 479-4900
Fax
(360) 373-0869
NPI assigned
Apr 9, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Dennis Alexander Smith, B.S. PHARMACY
Title
Owner and Manager
Phone
(360) 479-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF00002158 WA Primary

Addresses

Primary practice location

2500 Cherry Ave
Suite Number 101
Bremerton, WA 98310-4202

Mailing address

2500 Cherry Ave
Suite Number 101
Bremerton, WA 98310-4202
Phone (360) 479-4900

Other identifiers 2

IdentifierTypeStateIssuer
4902486OtherWANABP NUMBER
6021901MedicaidWA

National Provider Directory

National Provider Directory

Locations

2500 Cherry Ave
Ste 101
Bremerton, WA 98310
Phone (360) 479-4900

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770606139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVE",
            "address_2": "SUITE NUMBER 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-479-4900",
            "fax_number": "360-373-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVE",
            "address_2": "SUITE NUMBER 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-479-4900",
            "fax_number": "360-373-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY SHOPPE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER AND MANAGER",
        "authorized_official_telephone_number": "360-479-4900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S. PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00002158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4902486",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6021901",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.