Union Avenue Compounding Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00057609 Issued in WA

Legal business name

UNION AVENUE COMPOUNDING PHARMACY

Practice address

2302 S Union Ave
C25
Tacoma, WA 98405-1300

Phone

(253) 752-1705

Fax

(253) 761-9315

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kim BurkesNPI 1598985921

Title

Owner

Phone

(253) 752-1705

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kim Burkes, RPH, BCNP

  • Pharmacist
  • Tacoma, WA
  • NPI 1598985921
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1881718674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "address_2": "C25",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-1705",
            "fax_number": "253-761-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE",
            "address_2": "C25",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051300",
            "telephone_number": "253-752-1705",
            "fax_number": "253-761-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION AVENUE COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "BURKES",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-752-1705",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "CF00057609",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00057609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "9014036",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy P Underbrink, D.O.
• Understand Balance Mental Health Care
• Understand Balance Mental Health Care
• Mark Todd Underwood, PHARMD
• Union Avenue Compounding Pharmacy
• Union Avenue Dental Center
• Union Avenue Open MRI LLC
• Union Avenue Pediatrics, PLLC
• United Behavioral Health
• United Cerebral Palsy of South Puget Sound

• Community/Retail Pharmacy in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.