Organization Active NPI

Seattle Cancer Care Alliance

Doing business as SCCA at NW Hospital

  • Community/Retail Pharmacy
  • Seattle, WA
National Provider Identifier
1982025128
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.60468146 Issued in WA
Legal business name
SEATTLE CANCER CARE ALLIANCE
Doing business as
SCCA at NW Hospital
Practice address
1560 N 115TH St Ste G-16a
Seattle, WA 98133-8414
Phone
(206) 368-5802
Fax
(206) 368-1403
NPI assigned
Dec 13, 2013
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Jonathan Tingstad
Title
VP Cfo
Phone
(206) 288-1060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X PHAR.CF.60468146 WA Primary

Addresses

Primary practice location

1560 N 115TH St Ste G-16a
Seattle, WA 98133-8414

Mailing address

1560 N 115TH St
Suite G-16a
Seattle, WA 98133-8414
Phone (206) 368-5802

Other identifiers 1

IdentifierTypeStateIssuer
2146071OtherPK

Other names 1

  • SCCA at NW Hospital Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1982025128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST",
            "address_2": "SUITE G-16A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-368-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST STE G-16A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-368-5802",
            "fax_number": "206-368-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE CANCER CARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "TINGSTAD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "206-288-1060"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60468146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCCA at NW Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.