OrganizationActive
Ppgnw - Id Pharmacy
NPI 1093123184 · Non-Pharmacy Dispensing Site · Seattle, WA
Provider details
- NPI number
- 1093123184
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Mary Wendt, Revenue Cycle Director(206) 628-3826
- License
- 19941PDO (ID)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES 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
2001 E Madison St
Seattle, WA 98122-2959
Phone: (206) 328-7734
Street-level locationGet directions
Mailing address
2001 E Madison St
Seattle, WA 98122-2959
Registry dates
- Enumerated
- 2014-08-01
- Last updated
- 2014-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.