# VIRGINIA MASON MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIRGINIA MASON MEDICAL CENTER
- **Other names:** Virginia Mason LINDEMAN PAVILION PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700880291
- **Legal business name:** VIRGINIA MASON MEDICAL CENTER
- **Authorized official:** ADAM RICCERI (SUPERVISOR)
- **Authorized official phone:** (206) 341-0550

## Contact information

- **Practice address:** 1201 TERRY AVE, SEATTLE, WA 98101-2735
- **Practice address phone:** (206) 625-7202
- **Practice address fax:** (206) 625-7216
- **Mailing address:** 1201 TERRY AVE, SEATTLE, WA 98101-2735
- **Mailing address phone:** (206) 625-7202
- **Mailing address fax:** (206) 625-7216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | CF00003715 | WA | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 08/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2108790 | PK | — |
| 05 | — | 6008452 | — | WA |