LIVING WELL HEALTH CENTER
NPI 1366717373
Pharmacy in Redmond, WA

Active since March 09, 2012CLIA 50D2176532 · Waiver
3925 159TH AVE NE BLDG 21, REDMOND, WA 98052(425) 497-1225(425) 376-0993 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2023, Apr 28, 2022 (2 updates tracked since 2022).

About Living Well Health Center NPPES

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

LIVING WELL HEALTH CENTER (NPI 1366717373) is a healthcare organization registered as a pharmacy in Redmond, Washington and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1366717373
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3925 159TH AVE NE BLDG 21Redmond, WA 98052-6309
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(425) 376-0993
Organization SubpartYes
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateMarch 9, 2012
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1366717373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
3925 159TH AVE NE BLDG 21, Redmond, WA 98052

Other Names 1

Doing Business AsLiving Well Health Center

Other Identifiers 1

Other2134528WA · Ncpdp

Accepted 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 50D2176532

Living Well Health Center · Redmond, WA
Active · expires Apr 4, 2028
CLIA Number50D2176532
Laboratory TypePharmacy
Certificate Effective DateDecember 17, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTedros Gebreselassie
Laboratory Phone(425) 497-1225
Laboratory LocationLiving Well Health Center3925 159th Ave NE, Redmond, WA 98052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Family Medicine
3925 159TH AVE NE BLDG 21
REDMOND, WA 98052
Pharmacist
3925 159TH AVE NE BLDG 21
REDMOND, WA 98052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366717373, enumerated as an "organization" on March 09, 2012.

The provider is located at 3925 159TH AVE NE BLDG 21 REDMOND, WA 98052 and the phone number is (425) 497-1225.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.