Active NPI
Franciscan Health System
Doing business as Franciscan Pharmacy - St Anthony
- Community/Retail Pharmacy
- Gig Harbor, WA
National Provider Identifier
1871736702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHARCF60078630
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014986 | Medicaid | WA | |
| 2119720 | Other | PK |
Other names 1
- FRANCISCAN PHARMACY - ST ANTHONY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba St Anthony Hospital
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
0941366462
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba St Joseph Cardiothoracic Surgeons
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gig Harbor, WA
- NPI 1821363300
O20100930057459
National Provider Directory
National Provider DirectoryLocations
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
- Franciscan Health System (St Joseph Medical Center)
- Franciscan Health System (St Anthony)
- Franciscan Health System (St. Anthony Hospital Psychiatric Professional Services)
- Franciscan Health System (St Joseph Gig Harbor Same Day Surgery Center)
- Franciscan Health System (Franciscan Clinical Cancer Genetics Program)
- Franciscan Health Systems (St Anthony Hospital -Pac Lab)
- Franciscan Health Systems (St Anthony Hospital)
- Franciscan Medical Group (Franciscan Cardiology Associates)
- Franciscan Medical Group (Franciscan Surgical Associates)
- Franciscan Medical Group (Franciscan Digestive Care-Gig Harbor)
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.