MultiCare Pharmacy - Cornerstone – Clinic Pharmacy, NPI 1568719359
Clinic Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MultiCare Pharmacy - Cornerstone
P.O. BOX 5299
MS: 820-5-PCO
TACOMA, WA 984150299
Phone:
Type: Mailing
4003 CREEKSIDE LOOP
YAKIMA, WA 989083962
Phone: (509) 573-3808
Fax: (509) 573-3809
Type: Location
4003 WEST CREEKSIDE LOOP
YAKIMA, WA 98908
Phone: (509) 573-3808
Fax: (509) 573-3809
Type: Mailing
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: 2021-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-03-31 (71 days ago).
Enrollment records
2
Earliest due date
2026-03-31
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 |
|---|---|---|---|---|
| O20190917002549 | O | Pharmacy | WA | 2026-03-31 |
| O20210909003802 | O | Mass Immunization (Roster Biller Only) | WA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 67 | 67 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 67 | 67 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | 13 | $0 |
| G0009 | Administration of pneumococcal vaccine | 13 | 13 | $0 |
Insurance plans in this area (ZIP 98415)
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