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SOUTH PARK PHARMACY
NPI 1437256278
Pharmacy - Community/Retail Pharmacy in Port Orchard, WA

Active since September 20, 2006
1743 VILLAGE LN SE, PORT ORCHARD, WA 98366(360) 871-1020(360) 871-1213 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Park Pharmacy NPPES

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

SOUTH PARK PHARMACY (NPI 1437256278) is a healthcare organization registered as a community/retail pharmacy in Port Orchard, Washington and active in the NPI registry since September 2006. The organization lists Kenneth Paskett, Owner, as its authorized official.

NPPES Registry Identity

NPI1437256278
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTH PARK REXALL PHARMACY, INC.
Location Address1743 VILLAGE LN SEPort Orchard, WA 98366-2643
Mailing Address1743 Village Ln SePort Orchard, WA 98366-2643 · (360) 871-1020 · Fax (360) 871-1213
Phone(360) 871-1020
Fax(360) 871-1213
Organization SubpartNo
Authorized OfficialKenneth PaskettOwner · (360) 871-1020
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 4, 2011
✔ NPI 1437256278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WA · PHARCF00000804
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
1743 VILLAGE LN SE, Port Orchard, WA 98366
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Other Names 1

Doing Business AsSouth Park Pharmacy

Other Identifiers 3

Medicaid6174205WA
Other4911649Ncpdp Provider Identification Number
Medicare NSC0531580001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 South Park Rexall Pharmacy, Inc.'s NPI number?

The NPI number for South Park Rexall Pharmacy, Inc. is 1437256278. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as South Park Pharmacy.

Where is South Park Rexall Pharmacy, Inc. located?

South Park Rexall Pharmacy, Inc. is located at 1743 Village Ln SE, Port Orchard, WA 98366. The listed phone number is (360) 871-1020.

What is South Park Rexall Pharmacy, Inc.'s specialty?

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

What insurance does South Park Rexall Pharmacy, Inc. accept?

Health plans from Medica and Moda Health Plan, Inc. list South Park Rexall Pharmacy, Inc. 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 South Park Rexall Pharmacy, Inc. was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.