The Bartell Drug Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF.60524626 Issued in WA

Legal business name

THE BARTELL DRUG COMPANY

Practice address

5529 24TH Ave NW
Seattle, WA 98107-4102

Phone

(206) 763-2626

NPI assigned

Dec 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Koo, PHARMACIST

Title

Sr VP of Pharmacy

Phone

(206) 763-2626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bartell Drugs #92 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1013305036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DELRIDGE WAY SW STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061273",
            "telephone_number": "206-763-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 24TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074102",
            "telephone_number": "206-763-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "SR VP OF PHARMACY",
        "authorized_official_telephone_number": "206-763-2626",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF.60524626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON PHARMACY LICENSE",
            "identifier": "CF.60524626",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartell Drugs #92",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Bartell Drug Co
• The Bartell Drug Co
• The Bartell Drug Co
• The Bartell Drug Co
• The Bartell Drug Co
• The Bartell Drug Company
• The Bartell Drug Company
• The Bartell Drug Company
• The Camelot Society
• The Center for Classical Five-Element Acupuncture, PS

• Community/Retail Pharmacy in Seattle, WA
• Providers in Seattle, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.