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Export Provider Record NPI 1093550097
Juba Pharmacy Inc
Organization Subpart: NO
Active
NPI Number1093550097
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1093550097
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2024-07-01
Last Updated2024-07-01
Authorized OfficialRobert Wanyonyi
Owner
Phone: 8167853188
Mailing Address19059 Jensen Way Ne Unit 209
Poulsbo, WA 98370-6016
United States
Phone: (816) 785-3188
📍 View Map
Primary Practice Address14277 Tukwila International Blvd
Tukwila, WA 98168-4124
United States
Phone: (816) 785-3188
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes333600000X – Pharmacy
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About NPI 1093550097

Juba Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093550097. The primary specialty listed is Pharmacy. The organization is located in Tukwila, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2024-07-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093550097?

NPI 1093550097 belongs to Juba Pharmacy Inc, a Pharmacy in Tukwila, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093550097 active?

The current status of NPI 1093550097 in the NPPES registry is Active. The record was last updated on 2024-07-01.

What specialty is NPI 1093550097?

NPI 1093550097 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 1093550097?

You can verify NPI 1093550097 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 1093550097?

The primary practice address on file for NPI 1093550097 is 14277 Tukwila International Blvd, Tukwila, WA 98168-4124. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093550097 issued?

NPI 1093550097 was first issued (enumerated) on 2024-07-01. The NPPES record was last updated on 2024-07-01.

Practice Location Map

Juba Pharmacy Inc is located at 14277 Tukwila International Blvd, Tukwila, WA. Use the map below to find directions or verify the practice location.

📍 14277 Tukwila International Blvd, Tukwila, WA 98168-4124  ·  Open in Google Maps ↗

Related Healthcare Providers

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

Data Verified from CMS NPPES Last synced: 2026-06-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162