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UW MEDICINE SOUTH LAKE UNION PHARMACY
NPI 1457904625
Pharmacy - Community/Retail Pharmacy in Seattle, WA

Active since July 17, 2019CLIA 50D2166580 · Waiver
750 REPUBLICAN ST BLDG F, SEATTLE, WA 98109(206) 520-8380(206) 598-8334 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2021, Feb 25, 2021, Jul 17, 2019 (3 updates tracked since 2019).

About Uw Medicine South Lake Union Pharmacy NPPES

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

UW MEDICINE SOUTH LAKE UNION PHARMACY (NPI 1457904625) is a healthcare organization registered as a community/retail pharmacy in Seattle, Washington and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Steve Fijalka, Chief Pharmacy Officer, as its authorized official.

NPPES Registry Identity

NPI1457904625
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameUNIVERSITY OF WASHINGTON
Location Address750 REPUBLICAN ST BLDG FSeattle, WA 98109-4766
Mailing Address1959 Ne Pacific St # 356015Seattle, WA 98195-0001 · (206) 598-6059 · Fax (206) 598-6075
Phone(206) 520-8380
Fax(206) 598-8334
Organization SubpartYes
Authorized OfficialSteve FijalkaChief Pharmacy Officer · (206) 744-3377
Enumeration DateJuly 17, 2019
Last NPPES UpdateMarch 24, 20213 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1457904625 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 · Clinic PharmacyTaxonomy 3336C0002X
750 REPUBLICAN ST BLDG F, Seattle, WA 98109
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Other Names 1

Doing Business AsUw Medicine South Lake Union Pharmacy

Other Identifiers 2

Medicaid2168487WA
Other4939205WA · Ncpdp

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 ›

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 50D2166580

Uw Medicine South Lake Union · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2166580
Laboratory TypeClinic
Certificate Effective DateMay 21, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorWilliam Phipps
Laboratory Phone(206) 520-8320
Laboratory LocationUw Medicine South Lake Union750 Republican St, Seattle, WA 98109
CLIA data matches this NPI record on: Address Name
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.

LAYNE DETTOR LESNAU
Nurse Practitioner (Family)
750 REPUBLICAN ST BLDG F
SEATTLE, WA 98109
King County (206) 598-4882
OWEN ALEXANDER THOMPSON MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
750 REPUBLICAN ST BLDG F
SEATTLE, WA 98109
King County (206) 598-4882

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 University Of Washington's NPI number?

The NPI number for University Of Washington is 1457904625. It was assigned to this organization in the NPPES registry on July 17, 2019. The provider is doing business as Uw Medicine South Lake Union Pharmacy.

Where is University Of Washington located?

University Of Washington is located at 750 Republican St Bldg F, Seattle, WA 98109. The listed phone number is (206) 520-8380.

What is University Of Washington's specialty?

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

Does University Of Washington hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2166580) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Washington 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 47 other insurers list University Of Washington 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 University Of Washington was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.