NORTHWOODS LODGE PHARMACY
NPI 1770589129
Pharmacy - Long Term Care Pharmacy in Silverdale, WA

Active since June 21, 2005CLIA 50D2044927 · Waiver
2321 NW SCHOLD PL, SILVERDALE, WA 98383(360) 698-3930(360) 307-9562 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northwoods Lodge Pharmacy NPPES

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

NORTHWOODS LODGE PHARMACY (NPI 1770589129) is a healthcare organization registered as a long term care pharmacy in Silverdale, Washington and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists David Smith, Rx Manager, as its authorized official.

NPPES Registry Identity

NPI1770589129
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCLEARBROOK LODGE INC
Location Address2321 NW SCHOLD PLSilverdale, WA 98383-9504
Mailing Address2321 Nw Schold PlSilverdale, WA 98383-9504 · (360) 698-3930 · Fax (360) 307-9562
Fax(360) 307-9562
Organization SubpartNo
Authorized OfficialDavid SmithRx Manager · (360) 698-3930
Enumeration DateJune 21, 2005
Last NPPES UpdateJune 19, 2014
NPI 1770589129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in WA · PHAR.CF.60295845
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 ListedPharmacyTaxonomy 333600000X
2321 NW SCHOLD PL, Silverdale, WA 98383

Other Names 1

Doing Business AsNorthwoods Lodge Pharmacy

Other Identifiers 1

Other2110559Pk

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 50D2044927

Northwoods Lodge · Silverdale, WA
Active · expires Apr 4, 2028
CLIA Number50D2044927
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 2, 2012
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKaeun Lee
Laboratory Phone(360) 698-3930
Laboratory LocationNorthwoods Lodge2321 NW Schold Pl, Silverdale, WA 98383
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 17

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

Skilled Nursing Facility
2321 NW SCHOLD PL
SILVERDALE, WA 98383
Occupational Therapy Assistant
2321 NW SCHOLD PL
SILVERDALE, WA 98383
Occupational Therapist
2321 NW SCHOLD PL
SILVERDALE, WA 98383
Assisted Living Facility
2321 NW SCHOLD PL
SILVERDALE, WA 98383
Skilled Nursing Facility
2321 NW SCHOLD PL
SILVERDALE, WA 98383
Skilled Nursing Facility
2321 NW SCHOLD PL
SILVERDALE, WA 98383
Physical Therapist
2321 NW SCHOLD PL
SILVERDALE, WA 98383
Occupational Therapist
2321 NW SCHOLD PL
SILVERDALE, WA 98383

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 Clearbrook Lodge Inc's NPI number?

The NPI number for Clearbrook Lodge Inc is 1770589129. It was assigned to this organization in the NPPES registry on June 21, 2005. The provider is doing business as Northwoods Lodge Pharmacy.

Where is Clearbrook Lodge Inc located?

Clearbrook Lodge Inc is located at 2321 NW Schold Pl, Silverdale, WA 98383. The listed phone number is (360) 698-3930.

What is Clearbrook Lodge Inc's specialty?

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

Does Clearbrook Lodge Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2044927) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clearbrook Lodge Inc was last updated on June 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.