Active NPI
Five Corners Pharmacy Services
- Long Term Care Pharmacy
- Edmonds, WA
National Provider Identifier
1902909047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- FIVE CORNERS PHARMACY SERVICES
- Practice address
- 8404 Bowdoin Way
Ste B
Edmonds, WA 98026-7322 - Phone
- (425) 776-0168
- Fax
- (425) 776-0160
- NPI assigned
- Sep 6, 2006
- Last updated
- Sep 11, 2025
- 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
- Timothy Evans
- Title
- Owner
- Phone
- (425) 776-0168
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | FL00057301 | WA | |
| Community/Retail Pharmacy | 3336C0003X | NU | ||
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
8404 Bowdoin Way
Ste B
Edmonds, WA 98026-7322
Mailing address
8404 Bowdoin Way
Ste B
Edmonds, WA 98026-7322
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6026462 | Medicaid | WA | |
| 4930031 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Five Corners Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Edmonds, WA
- NPI 1851403760
Locations
8404 Bowdoin Way
#B
Edmonds, WA 98026
Phone (425) 776-0168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1902909047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 BOWDOIN WAY",
"address_2": "STE B",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8404 BOWDOIN WAY",
"address_2": "STE B",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267322",
"telephone_number": "425-776-0168",
"fax_number": "425-776-0160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE CORNERS PHARMACY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-776-0168"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "FL00057301",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6026462",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4930031",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.