Organization Active NPI

WSM Belvedere Inc

  • Community/Retail Pharmacy
  • Seattle, WA
National Provider Identifier
1841201340
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262010303374 Issued in WA
Legal business name
WSM BELVEDERE INC
Practice address
8830 Roosevelt Way NE
Seattle, WA 98115-3042
Phone
(206) 729-7514
Fax
(206) 729-7513
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Bill McNary
Title
MGR
Phone
(206) 729-7514

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 262010303374 WA Primary

Addresses

Primary practice location

8830 Roosevelt Way NE
Seattle, WA 98115-3042

Mailing address

8830 Roosevelt Way NE
Seattle, WA 98115-3042
Phone (206) 729-7514

Other identifiers 2

IdentifierTypeStateIssuer
6005441MedicaidWA
4918984OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MAPLE LEAF PHARMACY UNITED DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

8830 Roosevelt Way NE
Seattle, WA 98115
Phone (206) 729-7514

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1841201340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981153042",
            "telephone_number": "206-729-7514",
            "fax_number": "206-729-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981153042",
            "telephone_number": "206-729-7514",
            "fax_number": "206-729-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSM BELVEDERE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "MCNARY",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "206-729-7514"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "262010303374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005441",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4918984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLE LEAF PHARMACY UNITED DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.