NPIMap

Organization Active NPI

Rxtra Care, Inc.

  • Long Term Care Pharmacy
  • Seattle, WA
National Provider Identifier
1043347933
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RXTRA CARE, INC.
Practice address
4831 35TH Ave SW
Seattle, WA 98126-2709
Phone
(206) 938-6196
Fax
(206) 938-6197
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Micheal J. Henry, PD
Title
Pharmacy Manager
Phone
(206) 938-6196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X WA Primary

Addresses

Primary practice location

4831 35TH Ave SW
Seattle, WA 98126-2709

Mailing address

4831 35TH Ave SW
Seattle, WA 98126-2709
Phone (206) 938-6196

Other identifiers 2

IdentifierTypeStateIssuer
4930625OtherNCPDP
6027221MedicaidWA

Other names 1

  • Rxtra Care Pharmacy at the Mount Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rxtra Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043347933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 35TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262709",
            "telephone_number": "206-938-6196",
            "fax_number": "206-938-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 35TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262709",
            "telephone_number": "206-938-6196",
            "fax_number": "206-938-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXTRA CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "206-938-6196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4930625",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6027221",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rxtra Care Pharmacy at the Mount",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.