Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADISON PARK PHARMACY AND WELLNESS CENTER LLC
NPI 1336797620
Pharmacy - Community/Retail Pharmacy in Mountlake Terrace, WA

Q: What is Madison Park Pharmacy And Wellness Center LLC's specialty?

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

Active since August 29, 2019

24255 VAN RY BLVD STE A2, MOUNTLAKE TERRACE, WA 98043(425) 672-5800(425) 672-5811 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 30, 2026, Sep 4, 2019, Aug 29, 2019 (3 updates tracked since 2019).

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About Madison Park Pharmacy And Wellness Center Llc NPPES

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

MADISON PARK PHARMACY AND WELLNESS CENTER LLC (NPI 1336797620), doing business as Axis Pharmacy Northwest, is a healthcare organization registered as a community/retail pharmacy in Mountlake Terrace, Washington and active in the NPI registry since August 2019. The organization lists Jeffrey Shane Harrell, President, as its authorized official.

NPPES Registry Identity

NPI1336797620

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMADISON PARK PHARMACY AND WELLNESS CENTER LLC

Location Address24255 VAN RY BLVD STE A2Mountlake Terrace, WA 98043

Mailing AddressPo Box BIlwaco, WA 98624-0167 · (425) 672-5800 · Fax (425) 672-5811

Phone(425) 672-5800

Fax(425) 672-5811

Organization SubpartNo

Authorized OfficialJeffrey Shane HarrellPresident · (360) 859-8659

Enumeration DateAugust 29, 2019

Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1336797620 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 ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

24255 VAN RY BLVD STE A2, Mountlake Terrace, WA 98043

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Other Names 1

Doing Business AsAxis Pharmacy Northwest

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 ›

Other Providers at the Same Location NPPES 2

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

KARINA ZHYDOVLENKO PHARMD

Pharmacist

24255 VAN RY BLVD STE A2
MOUNTLAKE TERRACE, WA 98043

Snohomish County (425) 672-5800

DR. ANASTASIA BONDARENKO PHARMD

Pharmacist (Geriatric)

24255 VAN RY BLVD STE A2
MOUNTLAKE TERRACE, WA 98043

Snohomish County (425) 672-5800

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 Madison Park Pharmacy And Wellness Center LLC's NPI number?

The NPI number for Madison Park Pharmacy And Wellness Center LLC is 1336797620. It was assigned to this organization in the NPPES registry on August 29, 2019. The provider is doing business as Axis Pharmacy Northwest.

Where is Madison Park Pharmacy And Wellness Center LLC located?

Madison Park Pharmacy And Wellness Center LLC is located at 24255 Van Ry Blvd Ste A2, Mountlake Terrace, WA 98043. The listed phone number is (425) 672-5800.

What is Madison Park Pharmacy And Wellness Center LLC's specialty?

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

What insurance does Madison Park Pharmacy And Wellness Center LLC 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 48 other insurers list Madison Park Pharmacy And Wellness Center LLC 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 Madison Park Pharmacy And Wellness Center LLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.