OPTUM-PHCY AT MAIN
NPI 1245300052
Pharmacy - Community/Retail Pharmacy in Everett, WA

NPI Status: Active since November 09, 2006

Contact Information

3909 HOYT AVE
EVERETT, WA
ZIP 98201
Phone: (425) 317-3620
Fax: (425) 259-2857

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About OPTUM-PHCY AT MAIN

This page provides the complete NPI Profile along with additional information for Optum-phcy At Main, a provider established in Everett, Washington operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1245300052 assigned on November 2006. The practitioner's primary taxonomy code is 3336C0003X with license number CF00056690 (WA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Optum-phcy At Main. The authorized official of this NPI record is George Go M.d. (Board President)

NPI
1245300052
Provider Legal Name
OPTUM CARE WASHINGTON PLLC
Other Organization Name
OPTUM-PHCY AT MAIN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3909 HOYT AVE EVERETT, WA 98201
Location Phone
(425) 317-3620
Location Fax
(425) 259-2857
Mailing Address
PO BOX 2747 EVERETT, WA 98213
Mailing Phone
(425) 317-3941
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-09-2006
Last Update Date
04-09-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
CF00056690
License State
WA
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEORGE GO M.D.

Authorized Official Title
BOARD PRESIDENT
Authorized Official Phone
(425) 259-0966

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6023741MEDICAID (05)WA 
4903692OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245300052
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285600010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 0 + 0 + 0 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1245300052 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801087119MRS. TERI LEE FERREIRA PHARMACIST
Individual
Pharmacist3909 HOYT AVE
EVERETT, WA 98201
(360) 668-9401
1639360795DR. NANCY SUE KERLEE PHARM.D
Individual
Pharmacist3909 HOYT AVE
EVERETT, WA 98201
(425) 317-3620
1598957359MR. JOHN MICHAEL SONTRA PHARMACIST
Individual
Pharmacist3909 HOYT AVE
EVERETT, WA 98201
(425) 317-3620
1003251646THE BARTELL DRUG CO
Organization
Pharmacy (Community/Retail Pharmacy)3909 HOYT AVE
EVERETT, WA 98201
(425) 317-3620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245300052, enumerated in the NPI registry as an "organization" on November 09, 2006

The provider is located at 3909 Hoyt Ave Everett, Wa 98201 and the phone number is (425) 317-3620

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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