Active NPI
Apothecary Shoppe Pharmacy
- Community/Retail Pharmacy
- Bremerton, WA
National Provider Identifier
1770606139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF00002158
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4902486 | Other | WA | NABP NUMBER |
| 6021901 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.