Organization Active NPI

AIDS Healthcare Foundation

  • Specialty Pharmacy
  • Seattle, WA
National Provider Identifier
1053670943
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
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

Updated by the provider on Dec 3, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2136624OtherPK
2023490MedicaidWA

Other names 1

  • AHF Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
AIDS Healthcare Foundation1016 E Pike St, Seattle, WA 98122-3847(206) 568-2486 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 assignmentParticipating since Dec 27, 2019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.