Active NPI
AIDS Healthcare Foundation
- Specialty Pharmacy
- Seattle, WA
National Provider Identifier
1053670943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 1016 E Pike St
Suite 100
Seattle, WA 98122-3847 - Phone
- (206) 568-2486
- Fax
- (206) 568-3233
- NPI assigned
- May 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Scott Carruthers
- Title
- Chief of Pharmacy
- Phone
- (323) 860-5266
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHAR.CF.60507708 | WA | |
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
1016 E Pike St
Suite 100
Seattle, WA 98122-3847
Mailing address
18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136624 | Other | PK | |
| 2023490 | Medicaid | WA |
Other names 1
- AHF Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170424001088 | WA | DME Supplier - Pharmacy | 2668369109 | Practice locations: Seattle, WA |
| O20211101000257 | WA | Part B Supplier - Pharmacy | 2668369109 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Seattle, WA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| AIDS Healthcare Foundation | Immunosuppressive Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Seattle, WA
- NPI 1205448743
-
- Pharmacist
- Seattle, WA
- NPI 1386342467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1053670943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18421 S MAIN ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484609",
"telephone_number": "310-999-6089",
"fax_number": "833-261-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 E PIKE ST",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981223847",
"telephone_number": "206-568-2486",
"fax_number": "206-568-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "CARRUTHERS",
"authorized_official_first_name": "KENNETH SCOTT",
"authorized_official_title_or_position": "CHIEF OF PHARMACY",
"authorized_official_telephone_number": "323-860-5266"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "PHAR.CF.60507708",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2136624",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023490",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AHF Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AHF Pharmacy",
"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 Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.