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EASTERN STATE HOSPITAL PHARMACY
NPI 1679651970
Pharmacy - Long Term Care Pharmacy in Medical Lake, WA

Active since November 02, 2006
800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022(509) 299-3121(509) 299-7015 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2018, Feb 21, 2018 (2 updates tracked since 2018).

About Eastern State Hospital Pharmacy NPPES

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

EASTERN STATE HOSPITAL PHARMACY (NPI 1679651970) is a healthcare organization registered as a long term care pharmacy in Medical Lake, Washington and active in the NPI registry since November 2006. The organization lists Ronda D Kenney, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1679651970
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameEASTERN STATE HOSPITAL PHARMACY
Location Address800 WEST MAPLE STREETMedical Lake, WA 99022-0800
Mailing Address850 Maple StreetMedical Lake, WA 99022 · (509) 565-4659 · Fax (509) 565-7015
Phone(509) 299-3121
Fax(509) 299-7015
Organization SubpartNo
Authorized OfficialRonda D KenneyChief Operating Officer · (509) 565-4659
Enumeration DateNovember 2, 2006
Last NPPES UpdateOctober 15, 20182 updates tracked since enumeration
✔ NPI 1679651970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
800 WEST MAPLE STREET, Medical Lake, WA 99022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MR. MARTIN J BLAZEKOVIC
Physical Therapist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 299-3121
DR. ALTON J COUTURIER PHD
Psychologist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 299-3121
CONNIE NELSON
Occupational Therapist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 299-3121
SUSAN L LIENHARD
Pharmacist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 299-3121
DR. EVANGELINE V DACANAY MD
Psychiatry & Neurology (Psychiatry)
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 299-3121
SANDRA D PHILLIPS DH
Dental Hygienist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
JANICE L WILLIAMS RDH
Dental Hygienist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 299-3121
TERRY GLENN
Occupational Therapist
800 WEST MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 299-3121

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 Eastern State Hospital Pharmacy's NPI number?

The NPI number for Eastern State Hospital Pharmacy is 1679651970. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Eastern State Hospital Pharmacy located?

Eastern State Hospital Pharmacy is located at 800 West Maple Street, Medical Lake, WA 99022. The listed phone number is (509) 299-3121.

What is Eastern State Hospital Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Eastern State Hospital Pharmacy accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list Eastern State Hospital Pharmacy 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 Eastern State Hospital Pharmacy was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.