MOUNTLAKE TERRACE PHARMACY INC
NPI 1174395560
Pharmacy - Long Term Care Pharmacy in Mountlake Ter, WA

Active since October 27, 2023
6405 218TH ST SW STE 201A, MOUNTLAKE TER, WA 98043(877) 425-6337(877) 509-6337 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mountlake Terrace Pharmacy Inc NPPES

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

MOUNTLAKE TERRACE PHARMACY INC (NPI 1174395560) is a healthcare organization registered as a long term care pharmacy in Mountlake Ter, Washington and active in the NPI registry since October 2023. The organization lists Anderson Jolly, President, as its authorized official.

NPPES Registry Identity

NPI1174395560
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMOUNTLAKE TERRACE PHARMACY INC
Location Address6405 218TH ST SW STE 201AMountlake Ter, WA 98043-2180
Mailing Address1412 Sw 43rd St Ste 120Renton, WA 98057-4803 · (877) 425-6337 · Fax (877) 509-6337
Fax(877) 509-6337
Organization SubpartNo
Authorized OfficialAnderson JollyPresident · (877) 425-6337
Enumeration DateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
NPI 1174395560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

6405 218TH ST SW STE 201A, Mountlake Ter, WA 98043

Accepted Insurance

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 Mountlake Terrace Pharmacy Inc's NPI number?

The NPI number for Mountlake Terrace Pharmacy Inc is 1174395560. It was assigned to this organization in the NPPES registry on October 27, 2023.

Where is Mountlake Terrace Pharmacy Inc located?

Mountlake Terrace Pharmacy Inc is located at 6405 218th St SW Ste 201A, Mountlake Ter, WA 98043. The listed phone number is (877) 425-6337.

What is Mountlake Terrace Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Mountlake Terrace Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City and Sanford Health Plan list Mountlake Terrace Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountlake Terrace Pharmacy Inc was last updated on October 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.