Healthcare Provider Details

I. General information

NPI: 1427169028
Provider Name (Legal Business Name): SAND POINT PHARMACY & HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 SAND POINT WAY NE
SEATTLE WA
98105-2941
US

IV. Provider business mailing address

5400 SAND POINT WAY NE
SEATTLE WA
98105-2941
US

V. Phone/Fax

Practice location:
  • Phone: 206-524-2211
  • Fax: 206-524-4179
Mailing address:
  • Phone: 206-524-2211
  • Fax: 206-524-4179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR.CF.00005441
License Number StateWA

VIII. Authorized Official

Name: JEFFREY SHANE HARRELL
Title or Position: OWNER
Credential: PHARMD
Phone: 360-859-8659