MULTICARE BONNEY LAKE PHARMACY
NPI 1912287731
Pharmacy - Community/Retail Pharmacy in Bonney Lake, WA

Q: What is Multicare Health Systems's NPI number?

The NPI number for Multicare Health Systems is 1912287731. It was assigned to this organization in the NPPES registry on August 24, 2011. The provider is doing business as Multicare Bonney Lake Pharmacy.

Q: What is Multicare Health Systems's specialty?

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

Active since August 24, 2011

10004 204TH AVE E, SUITE 1200, BONNEY LAKE, WA 98391(253) 447-3355(253) 447-3375 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Jan 20, 2017 (2 updates tracked since 2017).

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About Multicare Bonney Lake Pharmacy NPPES

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

MULTICARE BONNEY LAKE PHARMACY (NPI 1912287731) is a healthcare organization registered as a community/retail pharmacy in Bonney Lake, Washington and active in the NPI registry since August 2011. The organization lists Teresa Diane Harberg, Director, Ambulatory Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1912287731

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMULTICARE HEALTH SYSTEMS

Location Address10004 204TH AVE E, SUITE 1200Bonney Lake, WA 98391-6539

Mailing Address10004 204th Ave E, Suite 1200Bonney Lake, WA 98391-6539 · (253) 447-3355 · Fax (253) 447-3375

Phone(253) 447-3355

Fax(253) 447-3375

Organization SubpartYesParent: Multicare Health System

Authorized OfficialTeresa Diane HarbergDirector, Ambulatory Pharmacy · (253) 426-6209

Enumeration DateAugust 24, 2011

Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2021

✔ NPI 1912287731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WA · PHARCF60229221

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

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

10004 204TH AVE E, Bonney Lake, WA 98391

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Other Names 1

Doing Business AsMulticare Bonney Lake Pharmacy

Other Identifiers 2

Medicaid2014454WA

Other2131570Pk

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 ›

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.

DON MASSEY PA-C

Physician Assistant

10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391

Pierce County (253) 848-5951

MR. BRANDON ALAN SWISHER PA-C

Physician Assistant (Surgical)

10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391

Pierce County (253) 848-5951

JENNIE G HENDRIE M.D.

Pediatrics

10004 204TH AVE E, SUITE 1300
BONNEY LAKE, WA 98391

Pierce County (253) 848-8797

ERIN ELIZABETH ROTHENBERG PA-C

Physician Assistant

10004 204TH AVE E
BONNEY LAKE, WA 98391

Pierce County (253) 848-5951

JEAN PIERE RIVERA NIEVES PA

Physician Assistant (Medical)

10004 204TH AVE E
BONNEY LAKE, WA 98391

Pierce County (253) 848-5951

KIERSTI DEVANEY ARNP

Nurse Practitioner

10004 204TH AVE E
BONNEY LAKE, WA 98391

Pierce County (253) 848-5951

TRAVIS LAIRD PT

Physical Therapist

10004 204TH AVE E, STE 3100
BONNEY LAKE, WA 98391

Pierce County (253) 863-7510

MR. BRYAN JAMES ANTONIUS R.T.

Radiologic Technologist (Radiography)

10004 204TH AVE E, SUITE 2600
BONNEY LAKE, WA 98391

Pierce County (253) 446-3983

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 Multicare Health Systems's NPI number?

The NPI number for Multicare Health Systems is 1912287731. It was assigned to this organization in the NPPES registry on August 24, 2011. The provider is doing business as Multicare Bonney Lake Pharmacy.

Where is Multicare Health Systems located?

Multicare Health Systems is located at 10004 204th Ave E Suite 1200, Bonney Lake, WA 98391. The listed phone number is (253) 447-3355.

What is Multicare Health Systems's specialty?

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

What insurance does Multicare Health Systems 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 49 other insurers list Multicare Health Systems 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 Multicare Health Systems was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.