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DR. JUSTIN RODERICK PHARMD
NPI 1174211015
Pharmacy - Community/Retail Pharmacy in Des Moines, WA

Active since April 27, 2023
21202 24TH AVE S, DES MOINES, WA 98198(206) 767-1347 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin Roderick Pharmd NPPES

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

DR. JUSTIN RODERICK PHARMD (NPI 1174211015) is an individual community/retail pharmacy provider in Des Moines, Washington and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1174211015
Entity TypeIndividualMale
Primary Taxonomy3336C0003X
Provider Legal NameDR. JUSTIN RODERICKCredential: PHARMD
Location Address21202 24TH AVE SDes Moines, WA 98198-4328
Mailing Address225 Cedar StSeattle, WA 98121-5200 · (207) 270-1099
Phone(206) 767-1347
Sole ProprietorYes
Enumeration DateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1174211015 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.
21202 24TH AVE S, Des Moines, WA 98198
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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 Justin Roderick's NPI number?

The NPI number for Justin Roderick is 1174211015. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Justin Roderick located?

Justin Roderick practices at 21202 24th Ave S, Des Moines, WA 98198. The listed phone number is (206) 767-1347.

What is Justin Roderick'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 Justin Roderick was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.