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JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
NPI 1295218188
Pharmacy - Community/Retail Pharmacy in Port Ludlow, WA

Active since September 07, 2018
9481 OAK BAY RD STE A, PORT LUDLOW, WA 98365(360) 379-2254(360) 379-2257 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2025, Dec 10, 2021, Mar 30, 2020 and 2 more (5 updates tracked since 2018).

About Jefferson County Public Hospital District No 2 NPPES

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

JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2 (NPI 1295218188), doing business as Jefferson Healthcare Port Ludlow Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Port Ludlow, Washington and active in the NPI registry since September 2018. The organization lists Mike Glenn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295218188
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Location Address9481 OAK BAY RD STE APort Ludlow, WA 98365-9801
Mailing AddressPo Box 104548Pasadena, CA 91189-4548 · (360) 385-2200
Phone(360) 379-2254
Fax(360) 379-2257
Organization SubpartNo
Authorized OfficialMike GlennCeo · (360) 385-2200
Enumeration DateSeptember 7, 2018
Last NPPES UpdateDecember 31, 20255 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1295218188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
9481 OAK BAY RD STE A, Port Ludlow, WA 98365
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Other Names 1

Doing Business AsJefferson Healthcare Port Ludlow Pharmacy

Other Identifiers 2

OtherPHAR.CF.60884025WA · License
Medicaid2126465WA

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 ›

Areas of Expertise CMS Part B claims 4

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.
305 services301 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
300 services296 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.
11 services11 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.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Port Ludlow Pharmacy carries, from the Medicare DMEPOS supplier directory.

Port Ludlow Pharmacy

DMEPOS supplier · Port Ludlow, WAOperated by Jefferson County Public Hospital District No 2
✔

Accepts Medicare assignment

Port Ludlow Pharmacy 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)20664563
Medicare Participant SinceJanuary 1, 1998
Supplier Location9481 Oak Bay RdPort Ludlow, WA 98365
Phone(360) 379-2254
Supplier Specialties
Pharmacy

Medicare Product Categories

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
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

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

MADRONA HILL URGENT CARE LLC
Clinic/Center (Urgent Care)
9481 OAK BAY RD STE A
PORT LUDLOW, WA 98365
Jefferson County (360) 437-9990

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 Jefferson County Public Hospital District No 2's NPI number?

The NPI number for Jefferson County Public Hospital District No 2 is 1295218188. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is doing business as Jefferson Healthcare Port Ludlow Pharmacy.

Where is Jefferson County Public Hospital District No 2 located?

Jefferson County Public Hospital District No 2 is located at 9481 Oak Bay Rd Ste A, Port Ludlow, WA 98365. The listed phone number is (360) 379-2254.

What is Jefferson County Public Hospital District No 2's specialty?

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

Does Jefferson County Public Hospital District No 2 accept Medicare assignment for medical equipment?

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

What insurance does Jefferson County Public Hospital District No 2 accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Jefferson County Public Hospital District No 2 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 Jefferson County Public Hospital District No 2 was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.