OPTUM - PHCY HARBOUR POINTE
NPI 1114097292
Pharmacy in Mukilteo, WA
NPI Status: Active since November 08, 2006
Contact Information
4410 106TH ST SW
MUKILTEO, WA
ZIP 98275
Phone: (425) 493-6005
Fax: (425) 493-6035
- Organization
- Pharmacy
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 50D0662651
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About OPTUM - PHCY HARBOUR POINTE
This page provides the complete NPI Profile along with additional information for Optum - Phcy Harbour Pointe, a provider established in Mukilteo, Washington operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1114097292 assigned on November 2006. The practitioner's primary taxonomy code is 333600000X with license number CF00056689 (WA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Optum - Phcy Harbour Pointe. The authorized official of this NPI record is George Go M.d. (Board President)
- NPI
- 1114097292
- Provider Legal Name
- OPTUM CARE WASHINGTON PLLC
- Other Organization Name
- OPTUM - PHCY HARBOUR POINTE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4410 106TH ST SW MUKILTEO, WA 98275
- Location Phone
- (425) 493-6005
- Location Fax
- (425) 493-6035
- Mailing Address
- PO BOX 2747 EVERETT, WA 98213
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2006
- Last Update Date
- 04-08-2024
- Code Navigator
Optum - Phcy Harbour Pointe is a medicare supplier with PTAN 20654303 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Heat & Cold Applications or External Infusion Pumps and/or Supplies or Canes and/or Crutches or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Cochlear Implants or Facial Prostheses or Ocular Prostheses or Ostomy Supplies or Urological Supplies or Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- CF00056689
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336C0003X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6008841 | MEDICAID (05) | WA | |
| 4920460 | OTHER (01) | OTHER ID NUMBER-COMMERCIAL NUMBER |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20654303
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Provider Type List
- PHYSICIAN – GENERAL PRACTICE).
- Competitive Bidding
- NO
Supplies List
- 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
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
- Cochlear Implants - Cochlear implants are used to treat bilateral pre-or-postlinguistic, sensorineural, moderate-to-profound hearing loss in individuals who demonstrate limited benefit from amplification
- Facial Prostheses - Nasal prosthesis, Ocular Prosthesis, Upper-facial prosthesis
- Ocular Prostheses - Prosthetic eyes
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Urological Supplies - Catheters, Urinary collection devices
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D0662651
- Facility Type
- Physician Office
- Certificate Effective Date
- November 01, 1993
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- CHRISTINE A. CLARK
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Optum - Phcy Harbour Pointe after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114097292, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114097292, enumerated as an "organization" on November 08, 2006.
The provider is located at 4410 106TH ST SW MUKILTEO, WA 98275 and the phone number is (425) 493-6005.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
