Foothills Compounding Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

CF.60497248 Issued in WA

Legal business name

FOOTHILLS COMPOUNDING PHARMACY LLC

Practice address

2820 Griffin Ave Ste 102
Enumclaw, WA 98022-2373

Phone

(360) 625-8785

Fax

(360) 625-8726

NPI assigned

Nov 28, 2014

Organization subpart

No

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

Authorized official

Name

Rebekah Scribner

Title

Owner

Phone

(360) 625-8785

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Foothills Compounding Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1992102453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 GRIFFIN AVE STE 102",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222373",
            "telephone_number": "360-625-8785",
            "fax_number": "360-625-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GRIFFIN AVE STE 102",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222373",
            "telephone_number": "360-625-8785",
            "fax_number": "360-625-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "SCRIBNER",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-625-8785"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "CF.60497248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Flanders
• Stephanie L Flesher, MA
• Tara Lyn Jean Fletcher, LMT
• Jared Olin Flothe, LMHC
• Kerry Walsh Flothe, LMHC
• Foothills Internal Medicine PLLC
• Foothills Midwifery
• Alexander Eugene Foster, LMHC
• Four Directions Massage PLLC
• Larissa Francis, REGISTERED DIETITIAN

• Compounding Pharmacy in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Compounding Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.