NPIMap

Organization Active NPI

Sea Mar Community Health Centers

  • Community/Retail Pharmacy
  • Concrete, WA
National Provider Identifier
1972606333
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60506149 Issued in WA
Legal business name
SEA MAR COMMUNITY HEALTH CENTERS
Practice address
7438 S D Ave Ste C
Concrete, WA 98237-9642
Phone
(360) 853-8109
Fax
(360) 853-8350
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Ms. Mary Bartolo
Title
Executive Vice President
Phone
(206) 763-5277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.60506149 WA Primary

Addresses

Primary practice location

7438 S D Ave Ste C
Concrete, WA 98237-9642

Mailing address

1040 S Henderson St
Seattle, WA 98108-4720
Phone (206) 788-3220

Other identifiers 2

IdentifierTypeStateIssuer
2044533MedicaidWA
2148692OtherPK

Other names 2

  • Sea-Mar Community Health Center Former legal business name
  • Sea Mar CHC Concrete Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Sea Mar Marysville Medi278 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

7438 S D Ave
Ste C
Concrete, WA 98237
Phone (360) 853-8109

Practitioners & affiliated clinicians

Practitioners 1

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1972606333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S HENDERSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084720",
            "telephone_number": "206-788-3220",
            "fax_number": "206-788-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7438 S D AVE STE C",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982379642",
            "telephone_number": "360-853-8109",
            "fax_number": "360-853-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA MAR COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "BARTOLO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "206-763-5277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60506149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044533",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea-Mar Community Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sea Mar CHC Concrete Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concrete, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.