NPIMap

Organization Active NPI

Shoalwater Bay Pharmacy

  • Community/Retail Pharmacy
  • Tokeland, WA
National Provider Identifier
1831382324
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00059154 Issued in WA
Legal business name
SHOALWATER BAY PHARMACY
Practice address
2373 Tokeland Road
Building E, Suite 145
Tokeland, WA 98590
Phone
(360) 267-8217
Fax
(360) 267-0568
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Stacey Schmidt, PHARM.D.
Title
Pharmacist in Charge
Phone
(360) 267-8217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF00059154 WA Primary

Addresses

Primary practice location

2373 Tokeland Road
Building E, Suite 145
Tokeland, WA 98590

Mailing address

2373 Tokeland Road, BLDG E, Ste 145
P.O. Box 540
Tokeland, WA 98590
Phone (360) 267-8217

Other identifiers 1

IdentifierTypeStateIssuer
CF00059154OtherWASTATE LICENSE NUMBER

Other names 1

  • Pharmacy By The Bay Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shoalwater Bay Tribe7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1831382324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 TOKELAND ROAD, BLDG E, STE 145",
            "address_2": "P.O. BOX 540",
            "city": "TOKELAND",
            "state": "WA",
            "postal_code": "98590",
            "telephone_number": "360-267-8217",
            "fax_number": "360-267-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 TOKELAND ROAD",
            "address_2": "BUILDING E, SUITE 145",
            "city": "TOKELAND",
            "state": "WA",
            "postal_code": "98590",
            "telephone_number": "360-267-8217",
            "fax_number": "360-267-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALWATER BAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "360-267-8217",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00059154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "CF00059154",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy By The Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tokeland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.