Organization Active NPI

Community Health Centers of King County

Doing business as Kent Community Health Center Pharmacy

  • Clinic Pharmacy
  • Renton, WA
National Provider Identifier
1821218876
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
CF00059025 Issued in WA
Legal business name
COMMUNITY HEALTH CENTERS OF KING COUNTY
Doing business as
Kent Community Health Center Pharmacy
Practice address
955 Powell Ave SW
Suite a
Renton, WA 98055-2908
Phone
(425) 277-1311
Fax
(425) 277-1566
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Trompeter
Title
Chief Executive Officer
Phone
(425) 277-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X CF00059025 WA Primary

Addresses

Primary practice location

955 Powell Ave SW
Suite a
Renton, WA 98055-2908

Mailing address

403 E Meeker St
Suite 300
Kent, WA 98030-5904
Phone (253) 372-3661

Other identifiers 1

IdentifierTypeStateIssuer
4932314OtherWANATIONAL ASSOC BOARD OF P

Other names 1

  • Kent Community Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Health Centers of King County41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821218876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E MEEKER ST",
            "address_2": "SUITE 300",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305904",
            "telephone_number": "253-372-3661",
            "fax_number": "253-372-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "address_2": "SUITE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980552908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF KING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROMPETER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "425-277-1311"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WA",
            "license": "CF00059025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOC BOARD OF P",
            "identifier": "4932314",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.