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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PINE LAKE PHARMACY LLC
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 last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 25, 2026, May 14, 2026 (2 updates tracked since 2026).

About Pine Lake Pharmacy Llc NPPES

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

PINE LAKE PHARMACY LLC (NPI 1083543458), doing business as Pine Lake Pharmacy, 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 LLC
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
Phone(425) 944-9444
Fax(425) 944-9449
Organization SubpartNo
Authorized OfficialRama Narasimha Rao MagantiOfficer · (469) 406-6588
Enumeration DateMay 14, 2026
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 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
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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.

DR. PAMELA F. DUESING, PLLC
Optometrist
3042 ISSAQUAH PINE LAKE RD SE
SAMMAMISH, WA 98075
King County (425) 392-7876
DR. PAMELA F. DUESING O.D.
Optometrist
3042 ISSAQUAH PINE LAKE RD SE
SAMMAMISH, WA 98075
King County (425) 392-7876

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 LLC's NPI number?

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

Where is Pine Lake Pharmacy LLC located?

Pine Lake Pharmacy LLC 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 LLC'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 LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.