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PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1285687749
Pharmacy - Home Infusion Therapy Pharmacy in Tukwila, WA

Active since May 18, 2006
3333 S 120TH PL STE 100, TUKWILA, WA 98168(425) 687-4400(425) 687-4401 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2025, Dec 21, 2020 (2 updates tracked since 2020).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1285687749), doing business as Providence Infusion And Pharmacy Services, is a healthcare organization registered as a home infusion therapy pharmacy in Tukwila, Washington and active in the NPI registry since May 2006. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1285687749
Entity TypeOrganization
Primary Taxonomy3336H0001X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address3333 S 120TH PL STE 100Tukwila, WA 98168-5134
Mailing Address3333 S 120th Pl, Suite 100Tukwila, WA 98168-5134 · (425) 687-4400 · Fax (425) 687-4401
Phone(425) 687-4400
Fax(425) 687-4401
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 18, 2006
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1285687749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers
Taxonomy Code3336H0001X
License✔ Licensed in WA · PHAR.CF.60389608
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Also ListedClinical PharmacologyTaxonomy 208U00000X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
3333 S 120TH PL STE 100, Tukwila, WA 98168
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Other Names 1

Doing Business AsProvidence Infusion And Pharmacy Services

Other Identifiers 1

Medicaid1006822WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Areas of Expertise CMS Part B claims 2

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.

Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each inf G0068
This procedure involves the professional administration of various intravenous (IV) infusions. These IV infusions can include anti-infective drugs, pain management drugs, chelation therapy, pulmonary hypertension treatment, inotropic therapy, and other types of IV drug or biological infusions. The procedure excludes chemotherapy or other highly complex drugs or biological infusions.
433 services14 patients
Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biologic G0088
This is your first visit for an intravenous (IV) treatment. The procedure involves administering medication into your vein to manage conditions like infections, pain, or certain heart and lung diseases. The treatment doesn't include complex drugs like chemotherapy. It's a common, safe procedure to deliver medication directly to your bloodstream.
81 services15 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Providence Infusion And Pharmacy SE carries, from the Medicare DMEPOS supplier directory.

Providence Infusion And Pharmacy SE

DMEPOS supplier · Tukwila, WAOperated by Providence Health & Services - Washington
✔

Accepts Medicare assignment

Providence Infusion And Pharmacy SE 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)20657873
Medicare Participant SinceJanuary 1, 1998
Supplier Location3333 South 120th Place Ste 100Tukwila, WA 98168
Phone(425) 687-4400
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Infusion Drugs
External Infusion Pumps and/or Supplies
An infusion pump is necessary to safely administer the drug
Enteral Nutrients
Enteral formula
Enteral Equipment and/or Supplies
Enteral infusion pumps, enteral nutrition supply kits
Parenteral Nutrients
Parenteral nutrient solutions
Parenteral Equipment and/or Supplies
Parenteral infusion pumps, parenteral nutrition supply kits
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 15

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

VICKY V BUI
Pharmacist
3333 S 120TH PL STE 100
TUKWILA, WA 98168
King County (425) 687-4400
THUY TIEN THI NGUYEN PHARMD
Pharmacist
3333 S 120TH PL STE 100
TUKWILA, WA 98168
King County (425) 687-4500
RACHEL ADELIA PFAFF PHARMACIST
Pharmacist
3333 S 120TH PL STE 100
TUKWILA, WA 98168
King County (425) 687-4400
PHONG TRAN PHARM. D
Pharmacist
3333 S 120TH PL STE 100
TUKWILA, WA 98168
King County (425) 687-4426
KRISTINE JOY BORGONIA
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3333 S 120TH PL STE 100
TUKWILA, WA 98168
King County (425) 687-4400
DR. ERIC SHANE REED PHARMD
Pharmacist
3333 S 120TH PL STE 100
TUKWILA, WA 98168
King County (425) 687-4400
CYNTHIA HUBER PHARMD
Pharmacist
3333 S 120TH PL STE 100
TUKWILA, WA 98168
King County (425) 687-4400
KATHLEEN BREANNE FLYNN
Pharmacist
3333 S 120TH PL STE 100
TUKWILA, WA 98168
King County (425) 687-4454

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 Providence Health & Services - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1285687749. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Providence Infusion and Pharmacy Services.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 3333 S 120th Pl Ste 100, Tukwila, WA 98168. The listed phone number is (425) 687-4400.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Does Providence Health & Services - Washington accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Providence Infusion And Pharmacy SE accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Providence Health & Services - Washington accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Wyoming and 19 other insurers list Providence Health & Services - Washington 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 Providence Health & Services - Washington was last updated on February 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.