Organization Active NPI

Cascade Park Pharmacy Inc

Doing business as Ready Meds Pharmacy

  • Long Term Care Pharmacy
  • Vancouver, WA
National Provider Identifier
1912582164
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CASCADE PARK PHARMACY INC
Doing business as
Ready Meds Pharmacy
Practice address
925 NE 136TH Ave Ste 105
Vancouver, WA 98684-0995
Phone
(877) 425-6337
Fax
(877) 509-6337
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Anderson Jolly, PH00019615
Title
President
Phone
(877) 425-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

925 NE 136TH Ave Ste 105
Vancouver, WA 98684-0995

Mailing address

1412 SW 43Rd St Ste 120
Renton, WA 98057-4803
Phone (877) 425-6337

Other names 1

  • READY MEDS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

925 NE 136th Ave
Ste 105
Vancouver, WA 98684
Phone (877) 425-6337

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1912582164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST STE 120",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "877-425-6337",
            "fax_number": "877-509-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 136TH AVE STE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840995",
            "telephone_number": "877-425-6337",
            "fax_number": "877-509-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-425-6337",
        "authorized_official_credential": "PH00019615"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "READY MEDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.