NPIMap

Organization Active NPI

St Francis Community Hospital

Doing business as Franciscan Pharmacy First Avenue

  • Community/Retail Pharmacy
  • Federal Way, WA
National Provider Identifier
1891053120
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60259184 Issued in WA
Legal business name
ST FRANCIS COMMUNITY HOSPITAL
Doing business as
Franciscan Pharmacy First Avenue
Practice address
30809 1St Ave S
Federal Way, WA 98003-4074
Phone
(253) 529-8888
Fax
(253) 529-7222
NPI assigned
Apr 24, 2012
Last updated
Dec 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Ketul J Patel
Title
Ceo
Phone
(253) 680-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHAR.CF.60259184 WA Primary

Addresses

Primary practice location

30809 1St Ave S
Federal Way, WA 98003-4074

Mailing address

PO Box 31001-1489
Pasadena, CA 91110-0001
Phone (253) 426-6692

Other identifiers 1

IdentifierTypeStateIssuer
4934623OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Franciscan Pharmacy First Avenue Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Francis Comm Hosp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1891053120",
    "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": "911100001",
            "telephone_number": "253-426-6692",
            "fax_number": "253-426-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30809 1ST AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034074",
            "telephone_number": "253-529-8888",
            "fax_number": "253-529-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-680-4002"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60259184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4934623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Pharmacy First Avenue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franciscan Pharmacy First Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.