GARY MICHAEL LAGERSTROM PHARM D
NPI 1407004385
Pharmacist in Bonney Lake, WA

Active since September 03, 2008
9230 SKY ISLAND DRIVE EAST, BONNEY LAKE, WA 98391(253) 750-6050(253) 750-6055 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary Michael Lagerstrom Pharm D NPPES

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

GARY MICHAEL LAGERSTROM PHARM D (NPI 1407004385) is an individual pharmacist in Bonney Lake, Washington, licensed in Washington (PH00065014) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1407004385
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameGARY MICHAEL LAGERSTROMCredential: PHARM D
Location Address9230 SKY ISLAND DRIVE EASTBonney Lake, WA 98391-0000
Mailing Address9230 Sky Island Dr EBonney Lake, WA 98391 · (253) 750-6050 · Fax (253) 750-6055
Fax(253) 750-6055
Sole ProprietorYes
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJuly 31, 2013
NPI 1407004385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WA · PH00065014
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
9230 SKY ISLAND DRIVE EAST, Bonney Lake, WA 98391

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 Gary Lagerstrom's NPI number?

The NPI number for Gary Lagerstrom is 1407004385. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Gary Lagerstrom located?

Gary Lagerstrom practices at 9230 Sky Island Drive East, Bonney Lake, WA 98391. The listed phone number is (253) 750-6050.

What is Gary Lagerstrom's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Gary Lagerstrom was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.