Organization
BRIDGEPORT FAMILY PHARMACY
Active
Other names
FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROIBERT DOUD (MANAGER)
(253) 238-2230
Entity
Organization
Contact information
Practice address
30809 1ST AVE S STE K, FEDERAL WAY, WA 98003-4074
(253) 839-3100
(253) 941-4310
Mailing address
7424 BRIDGEPORT WAY W STE 207, LAKEWOOD, WA 98499-8134
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4903832
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6028328
—
WA
Enumeration date
06/13/2006
Last updated
09/11/2025
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