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POULSBO COMPOUNDING PHARMACY
NPI 1962779348
Pharmacy - Compounding Pharmacy in Poulsbo, WA

Active since November 29, 2011
19062 STATE HIGHWAY 305 NE, POULSBO, WA 98370(360) 779-2737 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Poulsbo Compounding Pharmacy NPPES

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

POULSBO COMPOUNDING PHARMACY (NPI 1962779348) is a healthcare organization registered as a compounding pharmacy in Poulsbo, Washington and active in the NPI registry since November 2011. The organization lists Brandon Kenneth Knott, Owner, as its authorized official.

NPPES Registry Identity

NPI1962779348
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NamePOULSBO COMPOUNDING PHARMACY LLC
Location Address19062 STATE HIGHWAY 305 NEPoulsbo, WA 98370-7336
Mailing AddressPo Box 2850Poulsbo, WA 98370-2850 · (360) 779-2737
Phone(360) 779-2737
Organization SubpartNo
Authorized OfficialBrandon Kenneth KnottOwner · (360) 779-2737
Enumeration DateNovember 29, 2011
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1962779348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in WA · PHAR.CF.60264395
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
19062 STATE HIGHWAY 305 NE, Poulsbo, WA 98370
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Other Names 1

Doing Business AsPoulsbo Compounding Pharmacy

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.

CASCADE SPECIALTY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
19062 STATE HIGHWAY 305 NE
POULSBO, WA 98370
Kitsap County (360) 779-2737
CHAD TINNES PHARM.D
Pharmacist
19062 STATE HIGHWAY 305 NE
POULSBO, WA 98370
Kitsap County (360) 779-2737

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 Poulsbo Compounding Pharmacy LLC's NPI number?

The NPI number for Poulsbo Compounding Pharmacy LLC is 1962779348. It was assigned to this organization in the NPPES registry on November 29, 2011. The provider is doing business as Poulsbo Compounding Pharmacy.

Where is Poulsbo Compounding Pharmacy LLC located?

Poulsbo Compounding Pharmacy LLC is located at 19062 State Highway 305 NE, Poulsbo, WA 98370. The listed phone number is (360) 779-2737.

What is Poulsbo Compounding Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Poulsbo Compounding Pharmacy LLC was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.