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Export Provider Record NPI 1013939719
Washington Cvs Pharmacy Llc
Organization Subpart: NO
Active
NPI Number1013939719
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1013939719
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-24
Last Updated2016-12-13
Authorized OfficialSusan Colbert
Sr. Director, Payer Relations
Phone: 4017702751
Mailing Address1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146
United States
Phone: (401) 765-1500
📍 View Map
Primary Practice Address9400 192nd Ave E
Bonney Lake, WA 98391-8564
United States
Phone: (253) 862-6401 | Fax: (253) 862-6401
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2108387PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies
No3336C0003X – Pharmacy, Community/Retail PharmacyWAPHAR.CF.60619735
Yes333600000X – Pharmacy
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About NPI 1013939719

Washington Cvs Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1013939719. The primary specialty listed is Pharmacy. The organization is located in Bonney Lake, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1013939719?

NPI 1013939719 belongs to Washington Cvs Pharmacy Llc, a Pharmacy in Bonney Lake, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1013939719 active?

The current status of NPI 1013939719 in the NPPES registry is Active. The record was last updated on 2016-12-13.

What specialty is NPI 1013939719?

NPI 1013939719 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1013939719?

You can verify NPI 1013939719 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1013939719?

The primary practice address on file for NPI 1013939719 is 9400 192nd Ave E, Bonney Lake, WA 98391-8564. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1013939719 issued?

NPI 1013939719 was first issued (enumerated) on 2006-07-24. The NPPES record was last updated on 2016-12-13.

Practice Location Map

Washington Cvs Pharmacy Llc is located at 9400 192nd Ave E, Bonney Lake, WA. Use the map below to find directions or verify the practice location.

📍 9400 192nd Ave E, Bonney Lake, WA 98391-8564  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Washington Cvs Pharmacy Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1013939719. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyPHAR.CF.60619735WA
Data Verified from CMS NPPES Last synced: 2026-06-07 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162