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KIRKS PHARMACY AT HARTLAND INC. NPI 1396973004


NPI Information

NPI: 1396973004
Provider Name: KIRKS PHARMACY AT HARTLAND, INC.

Other Name: KIRK'S PHARMACY PUYALLUP

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 50D2170456

Address:
618 S MERIDIAN
PUYALLUP, WA
ZIP 98371
Phone: (253) 848-2011
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KIRKS PHARMACY AT HARTLAND, INC. is a pharmacy in Puyallup, 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. KIRKS PHARMACY AT HARTLAND, INC. NPI is 1396973004. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Kirk's Pharmacy Puyallup.

The provider's business location address is:

618 S MERIDIAN
PUYALLUP, WA
ZIP 98371-999
Phone: (253) 848-2011
Fax: (253) 848-3119

The provider's authorized official is Kirk Heinz .
The authorized official title is Co-owner and has the following contact phone number (360) 832-3121.

The CLIA number assigned to this NPI record is 50D2170456 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 3/19/2024.


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
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistNo
2333600000XPharmacyYes
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336C0004XPharmacyCompounding PharmacyNo
53336L0003XPharmacyLong Term Care 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
12001664MEDICAIDWASHINGTON
22121348OTHERPK

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.