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OPTUM - PHCY HARBOUR POINTE
NPI 1114097292
Pharmacy in Mukilteo, WA

Active since November 08, 2006CLIA 50D0662651 · Certificate of Compliance
4410 106TH ST SW, MUKILTEO, WA 98275(425) 493-6005(425) 493-6035 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Optum - Phcy Harbour Pointe NPPES

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

OPTUM - PHCY HARBOUR POINTE (NPI 1114097292) is a healthcare organization registered as a pharmacy in Mukilteo, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists George Go, Board President, as its authorized official.

NPPES Registry Identity

NPI1114097292
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameOPTUM CARE WASHINGTON PLLC
Location Address4410 106TH ST SWMukilteo, WA 98275-4700
Mailing AddressPo Box 2747Everett, WA 98213-0747
Phone(425) 493-6005
Fax(425) 493-6035
Organization SubpartNo
Authorized OfficialGeorge GoBoard President · (425) 258-3900
Enumeration DateNovember 8, 2006
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1114097292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in WA · CF00056689
Definition
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
4410 106TH ST SW, Mukilteo, WA 98275
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Other Names 1

Other NameOptum - Phcy Harbour Pointe

Other Identifiers 2

Medicaid6008841WA
Other4920460Other Id Number-commercial Number

CLIA Laboratory Certificates CMS CLIA

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 50D0662651

Optum Care Washington, PLLC · Mukilteo, WA
Active · expires Apr 4, 2028
CLIA Number50D0662651
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChristine A. Clark
Laboratory Phone(425) 317-3460
Laboratory LocationOptum Care Washington, PLLC4410 106th St SW, Mukilteo, WA 98275
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.

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Optum Harbour Pointe carries, from the Medicare DMEPOS supplier directory.

Optum Harbour Pointe

DMEPOS supplier · Mukilteo, WAOperated by Optum Care Washington PLLC
✔

Accepts Medicare assignment

Optum Harbour Pointe agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20654303
Medicare Participant SinceJanuary 1, 1998
Supplier Location4410 106th St SWMukilteo, WA 98275
Phone(425) 493-6000
Provider TypePhysician – General Practice)
Supplier Specialties
Optometrist

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

CATHERINE HAWKINS
Internal Medicine
4410 106TH ST SW
MUKILTEO, WA 98275
Snohomish County (425) 493-6013
CHRISTOPER J BIBBY MD
Family Medicine
4410 106TH ST SW
MUKILTEO, WA 98275
Snohomish County (425) 493-6000
DR. KHALED SHAKER ELGHONEMY MD
Internal Medicine
4410 106TH ST SW
MUKILTEO, WA 98275
Snohomish County (425) 339-5453
JEANNE M BOURGET
Nurse Practitioner
4410 106TH ST SW
MUKILTEO, WA 98275
Snohomish County (425) 388-6004
LYNETTE M WACHHOLZ ARNP
Nurse Practitioner
4410 106TH ST SW
MUKILTEO, WA 98275
Snohomish County (425) 388-6002
JI-YOUNG KIM ARNP
Nurse Practitioner
4410 106TH ST SW
MUKILTEO, WA 98275
Snohomish County (425) 493-6000
MARCIA H SAUL M.D.
Family Medicine
4410 106TH ST SW
MUKILTEO, WA 98275
Snohomish County (425) 339-6000
JOHN MARK BEARD MD
Family Medicine
4410 106TH ST SW
MUKILTEO, WA 98275
Snohomish County (425) 493-6000

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 Optum Care Washington PLLC's NPI number?

The NPI number for Optum Care Washington PLLC is 1114097292. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is also known as Optum - Phcy Harbour Pointe.

Where is Optum Care Washington PLLC located?

Optum Care Washington PLLC is located at 4410 106th St SW, Mukilteo, WA 98275. The listed phone number is (425) 493-6005.

What is Optum Care Washington PLLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Optum Care Washington PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Optum Harbour Pointe accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Optum Care Washington PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0662651) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optum Care Washington PLLC was last updated on April 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.