NPIMap

Organization Active NPI

Northwest Pharmaceutical Compounding, Inc

  • Compounding Pharmacy
  • Mill Creek, WA
National Provider Identifier
1952674541
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PHARCF60129620 Issued in WA
Legal business name
NORTHWEST PHARMACEUTICAL COMPOUNDING, INC
Doing business as
NorthWest Pharmaceutical Compounding, Inc
Practice address
15021 Main St
Ste's a & B
Mill Creek, WA 98012-1651
Phone
(425) 385-2400
Fax
(425) 385-3969
NPI assigned
Feb 14, 2012
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Michael JonesNPI 1457765364
Title
Owner
Phone
(425) 385-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X PHARCF60129620 WA Primary

Addresses

Primary practice location

15021 Main St
Ste's a & B
Mill Creek, WA 98012-1651

Mailing address

15021 Main St
Ste's a & B
Mill Creek, WA 98012-1651
Phone (425) 385-2400

Other identifiers 1

IdentifierTypeStateIssuer
4934368OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • NorthWest Pharmaceutical Compounding, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Pharmaceutical Compounding Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

15021 Main St
Ste A
Mill Creek, WA 98012
Phone (425) 385-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1952674541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15021 MAIN ST",
            "address_2": "STE'S A & B",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121651",
            "telephone_number": "425-385-2400",
            "fax_number": "425-385-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15021 MAIN ST",
            "address_2": "STE'S A & B",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121651",
            "telephone_number": "425-385-2400",
            "fax_number": "425-385-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHARMACEUTICAL COMPOUNDING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-385-2400"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "PHARCF60129620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4934368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthWest Pharmaceutical Compounding, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.