Organization Active NPI

Port Townsend Pharmacy Inc.

  • Community/Retail Pharmacy
  • Port Townsend, WA
National Provider Identifier
1891390266
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PORT TOWNSEND PHARMACY INC.
Practice address
1151 Water St
Port Townsend, WA 98368-6707
Phone
(360) 385-0969
Fax
(360) 385-2843
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Patrick K O'Donnell, PHARMDNPI 1730145137
Title
Owner/Pharmacist in Charge
Phone
(360) 280-0465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1151 Water St
Port Townsend, WA 98368-6707

Mailing address

821 S 38TH St
Tacoma, WA 98418-5028

Other identifiers 1

IdentifierTypeStateIssuer
604-546-965OtherWASTATE OF WASHINGTON UBI (STATE BUSINESS NUMBER)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1891390266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S 38TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984185028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 WATER ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686707",
            "telephone_number": "360-385-0969",
            "fax_number": "360-385-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT TOWNSEND PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "360-280-0465",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON UBI (STATE BUSINESS NUMBER)",
            "identifier": "604-546-965",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.