BRIDGEPORT ALLENMORE LLC NPI 1295777597

NPI Information

  • NPI: 1295777597
  • Provider Name: BRIDGEPORT ALLENMORE LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 1901 S CEDAR ST
    STE 104
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 582-2293

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NPI Details

BRIDGEPORT ALLENMORE LLC is a community/retail pharmacy pharmacy in Tacoma, WA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BRIDGEPORT ALLENMORE LLC NPI is 1295777597. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1901 S CEDAR ST
STE 104
TACOMA, WA
ZIP 98405-308
Phone: (253) 582-2293
Fax: (253) 272-2294

The provider's authorized official is Robert Doud .
The authorized official title is Owner and has the following contact phone number (253) 238-2230.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 9/11/2025.

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
1333600000XPharmacyCF00057481WASHINGTONNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

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
16014518MEDICAIDWASHINGTON
24912968OTHEROTHER 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: 11/21/2025

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