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NORTHWEST MEDICAL SPECIALTIES PHARMACY
NPI 1053489062
Pharmacy - Clinic Pharmacy in Tacoma, WA

Active since November 30, 2006CLIA Certified · 3 labs
1624 S I ST, SUITE 305, TACOMA, WA 98405(253) 428-8700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Medical Specialties Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST MEDICAL SPECIALTIES PHARMACY (NPI 1053489062) is a healthcare organization registered as a clinic pharmacy in Tacoma, Washington and active in the NPI registry since November 2006. The organization holds 3 active CLIA laboratory certificates and lists Barbara Derry, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053489062
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameNORTHWEST MEDICAL SPECIALTIES PHARMACY
Location Address1624 S I ST, SUITE 305Tacoma, WA 98405-5016
Mailing Address1624 S I St, Suite 305Tacoma, WA 98405-5016 · (253) 428-8700
Phone(253) 428-8700
Organization SubpartNo
Authorized OfficialBarbara DerryAdministrator · (253) 428-8700
Enumeration DateNovember 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053489062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in WA · PF00056036
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
1624 S I ST, Tacoma, WA 98405
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0945821

Northwest Medical Specialties PLLC · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D0945821
Laboratory TypeOther
Certificate Effective DateMay 25, 2006
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJorge Chaves
Laboratory Phone(253) 428-8713
Laboratory LocationNorthwest Medical Specialties PLLC1624 S I St Ste 305, Tacoma, WA 98405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 50D0982315

Northwest Medical Specialties PLLC · Federal Way, WA
Active · expires Apr 4, 2028
CLIA Number50D0982315
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2006
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJorge M. Chaves
Laboratory Phone(253) 428-8700
Laboratory LocationNorthwest Medical Specialties PLLC34509 9th Ave S Ste 107, Federal Way, WA 98003
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 50D2174778

Northwest Medical Specialties · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2174778
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJorge Chaves
Laboratory Phone(253) 428-8700
Laboratory LocationNorthwest Medical Specialties2940 S Meridian, Puyallup, WA 98373
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCISCAN MEDICAL GROUP
Urology
1624 S I ST, #204
TACOMA, WA 98405
Pierce County (253) 272-8441
LORRIN K YEE M.D.
Internal Medicine (Medical Oncology)
1624 S I ST
TACOMA, WA 98405
Pierce County (253) 383-3366
FRANCISCAN MEDICAL GROUP
Dietitian, Registered
1624 S I ST, STE 206
TACOMA, WA 98405
Pierce County (253) 426-6753
JEAN GARDNER
Dietitian, Registered
1624 S I ST, #206
TACOMA, WA 98405
Pierce County (253) 426-6753
MARTHA WELLS
Dietitian, Registered
1624 S I ST, # 206
TACOMA, WA 98405
Pierce County (253) 426-6753
FLORA LEA GALLOWAY FNP-BC
Nurse Practitioner (Family)
1624 S I ST
TACOMA, WA 98405
Pierce County (253) 428-8700
SUSAN M YAMANE MSW
Social Worker
1624 S I ST
TACOMA, WA 98405
Pierce County (253) 383-3366
STEPHANIE A. TOLLAN OTR L
Occupational Therapist
1624 S I ST, SUITE 301
TACOMA, WA 98405
Pierce County (253) 428-8292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Medical Specialties Pharmacy's NPI number?

The NPI number for Northwest Medical Specialties Pharmacy is 1053489062. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Northwest Medical Specialties Pharmacy located?

Northwest Medical Specialties Pharmacy is located at 1624 S I St Suite 305, Tacoma, WA 98405. The listed phone number is (253) 428-8700.

What is Northwest Medical Specialties Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Northwest Medical Specialties Pharmacy hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Northwest Medical Specialties Pharmacy was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.