OrganizationActive
Eastern State Hospital Pharmacy
NPI 1679651970 · Long Term Care Pharmacy · Medical Lake, WA
Eastern State Hospital Pharmacy is a Long Term Care Pharmacy organization in Medical Lake, WA (NPI 1679651970).
Provider details
- NPI number
- 1679651970
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ronda Kenney, Chief Operating Officer(509) 565-4659
Specialties & taxonomies
Suppliers
- Psychiatric Hospital283Q00000X
Hospitals
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
800 West Maple Street
Medical Lake, WA 99022-0800
Phone: (509) 299-3121
Fax: (509) 299-7015
Street-level locationGet directions
Mailing address
850 Maple Street
Medical Lake, WA 99022
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2018-10-15
Frequently asked questions
- What is Eastern State Hospital Pharmacy's NPI number?
- Eastern State Hospital Pharmacy's National Provider Identifier (NPI) is 1679651970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern State Hospital Pharmacy?
- Eastern State Hospital Pharmacy is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Eastern State Hospital Pharmacy located?
- Eastern State Hospital Pharmacy's practice location on file with NPPES is 800 West Maple Street, Medical Lake, WA 99022-0800.
- What is Eastern State Hospital Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Eastern State Hospital Pharmacy is (509) 299-3121.
- Who is the authorized official for Eastern State Hospital Pharmacy?
- The authorized official listed on Eastern State Hospital Pharmacy's NPPES record is Ronda Kenney, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern State Hospital Pharmacy's NPI active?
- Yes — Eastern State Hospital Pharmacy's NPI (1679651970) is active in the NPPES registry as of the last update on 2018-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.