Sandpoint Clinic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00003564 Issued in WA

Legal business name

SANDPOINT CLINIC PHARMACY INC

Practice address

450 NW Gilman Blvd
Ste 107
Issaquah, WA 98027-2483

Phone

(425) 392-8650

Fax

(425) 391-8624

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Martin Dafforn, RPH

Title

Owner and Pharmacist

Phone

(425) 392-8650

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MEDICAL CENTER PHARMACY Doing business as

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264896000000",
    "number": "1801927900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD",
            "address_2": "STE 107",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-392-8650",
            "fax_number": "425-391-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD",
            "address_2": "STE 107",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-392-8650",
            "fax_number": "425-391-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPOINT CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-01-31",
        "status": "A",
        "authorized_official_last_name": "DAFFORN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "425-392-8650",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00003564",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4919330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006934",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Sanchez Cristal, MD/MPH
• Gabriela Sanchez, MA
• John Sander, LMHC INTERN
• Laura Sanderson, CNM
• Barry Vaughn Sandoval, MD
• Jessica M. Sankey, OTR/L, CHT
• Kimberly Jana Santiago, DDS, PS
• Susana Santiago
• Vina Sargent I, MA, CCC-SLP
• Kimberly Blake Satenberg

• Community/Retail Pharmacy in Issaquah, WA
• Providers in Issaquah, 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 Jan 31, 2010; 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.