Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Lake Pharmacy

Organization Community/Retail Pharmacy · NPI 1083543458

Pine Lake Pharmacy is a Community/Retail Pharmacy in Sammamish, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3042 Issaquah Pine Lake Rd SE
Sammamish, WA 98075-7253
Phone: (425) 944-9444
Fax: (425) 944-9449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1083543458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rama Narasimha Rao Maganti — Officer · (469) 406-6588
Other names Pine Lake Pharmacy
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address3042 Issaquah Pine Lake Rd Se, Sammamish, WA 98075-7253