Organization Active NPI

Five Corners Pharmacy Inc

  • Community/Retail Pharmacy
  • Edmonds, WA
National Provider Identifier
1851403760
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FIVE CORNERS PHARMACY INC
Practice address
8404 Bowdoin Way
Ste a
Edmonds, WA 98026-7322
Phone
(425) 776-0168
Fax
(425) 776-0160
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Timothy Evans
Title
Owner
Phone
(425) 776-0168

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CF00003277 WA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8404 Bowdoin Way
Ste a
Edmonds, WA 98026-7322

Mailing address

8404 Bowdoin Way
Ste a
Edmonds, WA 98026-7322

Other identifiers 2

IdentifierTypeStateIssuer
6131908MedicaidWA
4903375OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Five Corners Pharmacy Inc2 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.

Locations

8404 Bowdoin Way
#A
Edmonds, WA 98026
Phone (425) 776-0168

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1851403760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 BOWDOIN WAY",
            "address_2": "STE A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 BOWDOIN WAY",
            "address_2": "STE A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267322",
            "telephone_number": "425-776-0168",
            "fax_number": "425-776-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE CORNERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-776-0168"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00003277",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6131908",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4903375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.