Organization Active NPI

Franciscan Health System

Doing business as Franciscan Pharmacy - St Anthony

  • Community/Retail Pharmacy
  • Gig Harbor, WA
National Provider Identifier
1871736702
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF60078630 Issued in WA
Legal business name
FRANCISCAN HEALTH SYSTEM
Doing business as
Franciscan Pharmacy - St Anthony
Practice address
11511 Canterwood Blvd NW
Ste 220
Gig Harbor, WA 98332-5813
Phone
(253) 530-2066
Fax
(253) 530-2625
NPI assigned
Apr 8, 2009
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Teresa Harberg
Title
Ambulatory Pharmacy Manager
Phone
(253) 426-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHARCF60078630 WA Primary

Addresses

Primary practice location

11511 Canterwood Blvd NW
Ste 220
Gig Harbor, WA 98332-5813

Mailing address

PO Box 31001-1489
Pasadena, CA 91110-1489
Phone (253) 530-2653

Other identifiers 2

IdentifierTypeStateIssuer
2014986MedicaidWA
2119720OtherPK

Other names 1

  • FRANCISCAN PHARMACY - ST ANTHONY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930057459 WA DME Supplier - Pharmacy 1557254935 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gig Harbor, WA
O20141217002894 WA Part B Supplier - Pharmacy 0941366462 Practice locations: Gig Harbor, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11511 Canterwood Blvd
Ste 220
Gig Harbor, WA 98332
Phone (253) 530-2066

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1871736702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-1489",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101489",
            "telephone_number": "253-530-2653",
            "fax_number": "253-530-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 CANTERWOOD BLVD NW",
            "address_2": "STE 220",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983325813",
            "telephone_number": "253-530-2066",
            "fax_number": "253-530-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "HARBERG",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "AMBULATORY PHARMACY MANAGER",
        "authorized_official_telephone_number": "253-426-6209"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHARCF60078630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014986",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRANCISCAN PHARMACY - ST ANTHONY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.