VASHON PHARMACY INC
NPI 1184764177
Pharmacy - Community/Retail Pharmacy in Vashon, WA

Q: What is Vashon Pharmacy Inc's NPI number?

The NPI number for Vashon Pharmacy Inc is 1184764177. It was assigned to this organization in the NPPES registry on February 7, 2007.

Q: What is Vashon Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since February 07, 2007CLIA 50D2234146 · Waiver

17617 VASHON HWY SW, VASHON, WA 98070(206) 463-9118(206) 463-6950 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2023, Jul 22, 2022, Aug 22, 2020 (3 updates tracked since 2020).

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About Vashon Pharmacy Inc NPPES

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

VASHON PHARMACY INC (NPI 1184764177) is a healthcare organization registered as a community/retail pharmacy in Vashon, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Tyler Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1184764177

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameVASHON PHARMACY INC

Location Address17617 VASHON HWY SWVashon, WA 98070

Mailing Address17617 Vashon Hwy SwVashon, WA 98070 · (206) 463-9118 · Fax (206) 463-6950

Phone(206) 463-9118

Fax(206) 463-6950

Organization SubpartNo

Authorized OfficialTyler YoungOwner · (206) 463-9118

Enumeration DateFebruary 7, 2007

Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1184764177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedPharmacistTaxonomy 183500000X · License CF00004132 (WA)

Also ListedPharmacyTaxonomy 333600000X

17617 VASHON HWY SW, Vashon, WA 98070

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Other Identifiers 2

Other4910039WA · Ncpdp

Medicaid6081400WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 Waiver 50D2234146

Vashon Pharmacy · Vashon, WA

Active · expires Apr 4, 2028

CLIA Number50D2234146

Laboratory TypePharmacy

Certificate Effective DateAugust 27, 2021

Certificate Expiration DateApril 4, 2028

Laboratory DirectorTyler Young

Laboratory Phone(206) 463-9118

Laboratory LocationVashon Pharmacy17617 Vashon Hwy SW, Vashon, WA 98070

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

542 services535 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

513 services513 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

22 services22 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

22 services22 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

16 services16 patients

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAUREN ALLYN PHARMD