Bainbridge Island Community Pharmacy LLC
NPI 1073053302 · Community/Retail Pharmacy · Bainbridge Island, WA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bainbridge Island Community Pharmacy LLC is a Community/Retail Pharmacy organization in Bainbridge Island, WA (NPI 1073053302).
Provider details
- NPI number
- 1073053302
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mark Jowett Tan, Member(206) 780-7809
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
732 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 364 | $42 |
| Administration of Influenza Virus VaccineG0008 | 350 | $32 |
| Administration of Pneumococcal VaccineG0009 | 18 | $32 |
Typical Medicare-allowed amounts for these services range $32–$42 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bainbridge Island Community Pharmacy
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2023-12-06
- Certified
- 2023-12-04
Frequently asked questions
- What is Bainbridge Island Community Pharmacy LLC's NPI number?
- Bainbridge Island Community Pharmacy LLC's National Provider Identifier (NPI) is 1073053302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bainbridge Island Community Pharmacy LLC?
- Bainbridge Island Community Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bainbridge Island Community Pharmacy LLC located?
- Bainbridge Island Community Pharmacy LLC's practice location on file with NPPES is 124 Winslow Way W, Bainbridge Island, WA 98110-2512.
- What is Bainbridge Island Community Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Bainbridge Island Community Pharmacy LLC is (206) 780-7809.
- Does Bainbridge Island Community Pharmacy LLC accept Medicare?
- Bainbridge Island Community Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bainbridge Island Community Pharmacy LLC?
- The authorized official listed on Bainbridge Island Community Pharmacy LLC's NPPES record is Mark Jowett Tan, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bainbridge Island Community Pharmacy LLC's NPI active?
- Yes — Bainbridge Island Community Pharmacy LLC's NPI (1073053302) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.