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GEORGETOWN PHARMACY
NPI 1932240892
Pharmacy - Community/Retail Pharmacy in Seattle, WA

Active since February 12, 2007
6111 13TH AVE S, SEATTLE, WA 98108(206) 763-0288(206) 768-1296 Get Directions Write a Review

NPPES record last updated: March 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgetown Pharmacy NPPES

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

GEORGETOWN PHARMACY (NPI 1932240892) is a healthcare organization registered as a community/retail pharmacy in Seattle, Washington and active in the NPI registry since February 2007. The organization lists Jack Cordova, Owner, as its authorized official.

NPPES Registry Identity

NPI1932240892
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJACK J CORDOVA
Location Address6111 13TH AVE SSeattle, WA 98108-2705
Mailing Address6111 13th Ave SSeattle, WA 98108-2705
Phone(206) 763-0288
Fax(206) 768-1296
Organization SubpartNo
Authorized OfficialJack CordovaOwner · (206) 763-0288
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMarch 9, 2009
✔ NPI 1932240892 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 · CF00000300
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
6111 13TH AVE S, Seattle, WA 98108
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Other Names 1

Doing Business AsGeorgetown Pharmacy

Other Identifiers 3

Other4906775Ncpdp Provider Identification Number
Medicaid6030407WA
Medicare NSC0585600001

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 Jack J Cordova's NPI number?

The NPI number for Jack J Cordova is 1932240892. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Georgetown Pharmacy.

Where is Jack J Cordova located?

Jack J Cordova is located at 6111 13th Ave S, Seattle, WA 98108. The listed phone number is (206) 763-0288.

What is Jack J Cordova's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack J Cordova was last updated on March 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.