NPIMap

Organization Active NPI

Mike'S Eastside Drugs

  • Compounding Pharmacy
  • Vancouver, WA
National Provider Identifier
1972698454
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
CF00001931 Issued in WA
Legal business name
MIKE'S EASTSIDE DRUGS
Practice address
8506 E. Mill Plain Boulevard
Vancouver, WA 98664
Phone
(360) 694-3353
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Michael Graeff, R.PH., FACA
Title
Pharmacist/Owner
Phone
(360) 694-3353

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X CF00001931 WA
Community/Retail Pharmacy 3336C0003X CF00001931 WA
Compounding Pharmacy 3336C0004X CF00001931 WA Primary

Addresses

Primary practice location

8506 E. Mill Plain Boulevard
Vancouver, WA 98664

Mailing address

8506 E. Mill Plain Boulevard
Vancouver, WA 98664
Phone (360) 694-3353

Other identifiers 2

IdentifierTypeStateIssuer
4909884OtherWANABP NUMBER
6082606MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Mike'S Eastside Drugs3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972698454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 E. MILL PLAIN BOULEVARD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-694-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 E. MILL PLAIN BOULEVARD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-694-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE'S EASTSIDE DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAEFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "360-694-3353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH., FACA"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "CF00001931",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00001931",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "CF00001931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4909884",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6082606",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.

Verify at the official NPI Registry.