NPIMap

Organization Active NPI

Makers Pharmacy

  • Health Service Clinic/Center
  • Burlington, WA
National Provider Identifier
1841581964
Registry record updated Apr 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
60217314 Issued in WA
Legal business name
MAKERS PHARMACY
Practice address
839 S Burlington Blvd
Burlington, WA 98233-3307
Phone
(360) 757-6677
Fax
(360) 757-6888
NPI assigned
Apr 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2011

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

Authorized official

Name
Michelle Killmer Moser, RPHNPI 1669588521
Title
Owner/Pharmacist
Phone
(360) 757-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 60217314 WA Primary

Addresses

Primary practice location

839 S Burlington Blvd
Burlington, WA 98233-3307

Mailing address

839 S Burlington Blvd
Burlington, WA 98233-3307
Phone (360) 757-6677

Other names 1

  • Makers Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Makers Compounding Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1303516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303516800000",
    "number": "1841581964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333307",
            "telephone_number": "360-757-6677",
            "fax_number": "360-757-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333307",
            "telephone_number": "360-757-6677",
            "fax_number": "360-757-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKERS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-23",
        "last_updated": "2011-04-23",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "KILLMER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "360-757-6677",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "60217314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Makers Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2011; 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.