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OPTUM CARE WASHINGTON PLLC NPI 1023188109


NPI Information

NPI: 1023188109
Provider Name: OPTUM CARE WASHINGTON PLLC

Other Name: OPTUM - MARYSVILLE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4420 76TH ST NE
MARYSVILLE, WA
ZIP 98270
Phone: (360) 651-7410
Get Directions

OPTUM CARE WASHINGTON PLLC is a pharmacy in Marysville, WA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. OPTUM CARE WASHINGTON PLLC NPI is 1023188109. The provider is registered as an organization entity type.
The provider Other Name Is Optum - Marysville Pharmacy.

The provider's business location address is:

4420 76TH ST NE
MARYSVILLE, WA
ZIP 98270-726
Phone: (360) 651-7410
Fax: (360) 651-7415

The provider's authorized official is Kari Stanislaw .
The authorized official title is Senior Director, Pharmacy and has the following contact phone number (425) 259-0966.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 4/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyCF00056585WASHINGTONYes
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16023147MEDICAIDWASHINGTON
24927969OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.