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NPI 1801442629ActiveOrganization· Pharmacy, Specialty Pharmacy· Renton, WA

Pharmacy, Specialty Pharmacy in Renton, Washington, registered in NPPES in August 2019. The authorized official on file is Vicki Hammond, Cfo.

Overview

NPI1801442629
StatusActive
Entity typeOrganization
NPI issuedAug 16, 2019
Last updated in NPPESMar 13, 2026
Certified by providerMar 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Specialty Pharmacy Primary3336S0011X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy, Specialty Pharmacy providers in Renton

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