MERCURY PHARMACY SVCS INC NPI 1073659694

NPI Information

  • NPI: 1073659694
  • Provider Name: MERCURY PHARMACY SVCS INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • :
  • Address: 22316 70TH AVE W STE E
    MOUNTLAKE TERRACE, WA
    ZIP 98043
  • Phone: (425) 673-5200

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NPI Details

MERCURY PHARMACY SVCS INC is a long term care pharmacy pharmacy in Mountlake Terrace, WA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MERCURY PHARMACY SVCS INC NPI is 1073659694. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

22316 70TH AVE W STE E
MOUNTLAKE TERRACE, WA
ZIP 98043-184
Phone: (425) 673-5200
Fax: (425) 673-5230

The provider's authorized official is Stephen Lawrence Boulanger .
The authorized official title is Pharmacist In Charge and has the following contact phone number (425) 673-5200.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 1/30/2007 and was last updated on 3/27/2025.

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
13336L0003XPharmacyLong Term Care 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
16024343MEDICAIDWASHINGTON
24925321OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
3PHARCF60832484OTHERWASHINGTONPHARMACY LICENSE

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: 3/30/2025

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