Washington CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WASHINGTON CVS PHARMACY LLC

Practice address

17254 140TH Ave SE
Renton, WA 98058-7014

Phone

(425) 226-7000

Fax

(425) 235-8796

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Sr. Director, Payer Relations

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other names 1

• CVS Pharmacy #11668 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Washinton CVS Pharmacy LLC91 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• CVS Health

  • Pharmacist
  • Renton, WA
  • NPI 1700242740
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Spokane, WA
  • NPI 1639191323
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Kelso, WA
  • NPI 1659393346
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Bellevue, WA
  • NPI 1669584645
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Sammamish, WA
  • NPI 1689781353
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Spokane, WA
  • NPI 1730102567
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Ferndale, WA
  • NPI 1730298050
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Olympia, WA
  • NPI 1740202431
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Seattle, WA
  • NPI 1740758812
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Kennewick, WA
  • NPI 1750490066
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Bellevue, WA
  • NPI 1750751590
  NPD tax ID
• Washington CVS Pharmacy LLC

  • Pharmacy
  • Tacoma, WA
  • NPI 1770692097
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1801840327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17254 140TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587014",
            "telephone_number": "425-226-7000",
            "fax_number": "425-235-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #11668",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayan Warsame
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• Washington CVS Pharmacy LLC
• Washington CVS Pharmacy, L.L.C.
• Washington Dental Corporation PC
• Washington Dental Corporation, PC
• Jeffrey Frank Wasmer, MA 60214980
• Diena L Wasson

• Pharmacy in Renton, WA
• Providers in Renton, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.