Mary Bridge Infusion and Specialty Services – Home Infusion Therapy Pharmacy, NPI 1164536025
Home Infusion Therapy Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Mary Bridge Infusion and Specialty Services
315 MLK JR WAY MS 315-C2-HIN
PO BOX 5299 MS 315-C2-HIN
TACOMA, WA 984150299
Phone: (253) 403-2475
Fax: (253) 403-1845
Type: Mailing
P.O. BOX 5299
MS: 820-5-PCO
TACOMA, WA 984150299
Phone:
Type: Mailing
MultiCare Tacoma General Hospital, 315, Martin Luther King Jr Way, Tacoma, Pierce County, Washington, 98403, United States
MS: 315-C2-HIN
TACOMA, WA 984054234
Phone: (253) 403-1833
Fax: (253) 403-1845
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (109 days away).
Enrollment records
1
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930015301 | O | Pharmacy | WA | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98415)
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