Organization
PINE LAKE PHARMACY LLC
Active
Other names
Pine Lake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMA NARASIMHA RAO MAGANTI RPH (OFFICER)
(469) 406-6588
Entity
Organization
Contact information
Practice address
3042 ISSAQUAH PINE LAKE RD SE, SAMMAMISH, WA 98075-7253
(425) 944-9444
(425) 944-9449
Mailing address
3042 ISSAQUAH PINE LAKE RD SE, SAMMAMISH, WA 98075-7253
(425) 944-9444
(425) 944-9449
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
08/25/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up