NPIMap

Organization Active NPI

Prescriptions Etc Inc

  • Long Term Care Pharmacy
  • Woodinville, WA
National Provider Identifier
1053440776
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHAR.CF.00001765 Issued in WA
Legal business name
PRESCRIPTIONS ETC INC
Practice address
18800 142ND Ave NE
Ste 4B
Woodinville, WA 98072-8218
Phone
(425) 455-2123
Fax
(425) 908-7363
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Steven E Singer, RPHNPI 1508856584
Title
Manager
Phone
(425) 455-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHAR.CF.00001765 WA
Long Term Care Pharmacy 3336L0003X PHAR.CF.00001765 WA Primary

Addresses

Primary practice location

18800 142ND Ave NE
Ste 4B
Woodinville, WA 98072-8218

Mailing address

18800 142ND Ave NE
Ste 4B
Woodinville, WA 98072-8218
Phone (425) 455-2123

Other identifiers 2

IdentifierTypeStateIssuer
7331127MedicaidWA
6005102MedicaidWA

Other names 1

  • Bellegrove Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000762 WA Part B Supplier - Mass Immunization (Roster Biller Only) 0244332864 Practice locations: Woodinville, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bellegrove Pharmacy3 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.

Locations

18800 142nd Ave NE
Ste 4B
Woodinville, WA 98072
Phone (425) 455-2123

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1053440776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 142ND AVE NE",
            "address_2": "STE 4B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728218",
            "telephone_number": "425-455-2123",
            "fax_number": "425-908-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 142ND AVE NE",
            "address_2": "STE 4B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728218",
            "telephone_number": "425-455-2123",
            "fax_number": "425-908-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTIONS ETC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-455-2123",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.00001765",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.00001765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7331127",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005102",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellegrove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.