OrganizationActive
Providence Health & Services Washington
NPI 1720121346 · Long Term Care Pharmacy · Tukwila, WA
Provider details
- NPI number
- 1720121346
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Suppliers
- Clinical Pharmacology Physician208U00000X
Allopathic & Osteopathic Physicians
- Pharmacy333600000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Profile Score
Detailed profile(89/100 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
3333 S 120th Pl Ste 100b
Tukwila, WA 98168-5134
Phone: (425) 687-4400
Fax: (425) 687-4401
Street-level locationGet directions
Mailing address
Po Box 24292
Seattle, WA 98124-0292
Other names (DBA / former)
- Doing business as
- Providence Infusion and Pharmacy Services
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.