OrganizationActive
Pine Lake Pharmacy
NPI 1083543458 · Community/Retail Pharmacy · Sammamish, WA
Pine Lake Pharmacy is a Community/Retail Pharmacy organization in Sammamish, WA (NPI 1083543458).
Provider details
- NPI number
- 1083543458
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rama Narasimha Rao Maganti, Officer(469) 406-6588
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
3042 Issaquah Pine Lake Rd Se
Sammamish, WA 98075-7253
Phone: (425) 944-9444
Fax: (425) 944-9449
Approximate (ZIP-level) locationGet directions
Mailing address
3042 Issaquah Pine Lake Rd Se
Sammamish, WA 98075-7253
Other names (DBA / former)
- Doing business as
- Pine Lake Pharmacy
Registry dates
- Enumerated
- 2026-05-14
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Pine Lake Pharmacy's NPI number?
- Pine Lake Pharmacy's National Provider Identifier (NPI) is 1083543458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Lake Pharmacy?
- Pine Lake Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pine Lake Pharmacy located?
- Pine Lake Pharmacy's practice location on file with NPPES is 3042 Issaquah Pine Lake Rd Se, Sammamish, WA 98075-7253.
- What is Pine Lake Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Pine Lake Pharmacy is (425) 944-9444.
- Who is the authorized official for Pine Lake Pharmacy?
- The authorized official listed on Pine Lake Pharmacy's NPPES record is Rama Narasimha Rao Maganti, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Lake Pharmacy's NPI active?
- Yes — Pine Lake Pharmacy's NPI (1083543458) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.