Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PINE LAKE PHARMACY
NPI 1083543458
Pharmacy - Community/Retail Pharmacy in Sammamish, WA

Active since May 14, 2026
3042 ISSAQUAH PINE LAKE RD SE, SAMMAMISH, WA 98075(425) 944-9444(425) 944-9449 Get Directions Write a Review

NPPES record added: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Lake Pharmacy NPPES

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

PINE LAKE PHARMACY (NPI 1083543458) is a healthcare organization registered as a community/retail pharmacy in Sammamish, Washington and active in the NPI registry since May 2026. The organization lists Rama Narasimha Rao Maganti, Officer, as its authorized official.

NPPES Registry Identity

NPI1083543458
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePINE LAKE PHARMACY
Location Address3042 ISSAQUAH PINE LAKE RD SESammamish, WA 98075-7253
Mailing Address3042 Issaquah Pine Lake Rd SeSammamish, WA 98075-7253 · (425) 944-9444 · Fax (425) 944-9449
Fax(425) 944-9449
Organization SubpartNo
Authorized OfficialRama Narasimha Rao MagantiOfficer · (469) 406-6588
Enumeration DateMay 14, 2026
NPPES CertifiedMay 14, 2026
NPI 1083543458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
3042 ISSAQUAH PINE LAKE RD SE, Sammamish, WA 98075

Other Names 1

Doing Business AsPine Lake Pharmacy

Other Providers at the Same Location NPPES 2

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

Optometrist
3042 ISSAQUAH PINE LAKE RD SE
SAMMAMISH, WA 98075
Optometrist
3042 ISSAQUAH PINE LAKE RD SE
SAMMAMISH, WA 98075

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 Pine Lake Pharmacy's NPI number?

The NPI number for Pine Lake Pharmacy is 1083543458. It was assigned to this organization in the NPPES registry on May 14, 2026.

Where is Pine Lake Pharmacy located?

Pine Lake Pharmacy is located at 3042 Issaquah Pine Lake Rd SE, Sammamish, WA 98075. The listed phone number is (425) 944-9444.

What is Pine Lake Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Pine Lake Pharmacy was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.