NPIMap

Organization Active NPI

Ranier Home Healthcare Phcy

  • Pharmacy
  • Sedro Woolley, WA
National Provider Identifier
1063448744
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
FL00058091 Issued in WA
Legal business name
RANIER HOME HEALTHCARE PHCY
Practice address
810 Metcalf St
Sedro Woolley, WA 98284-1423
Phone
(360) 855-2800
Fax
(360) 855-2888
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
John Tran
Title
President
Phone
(206) 726-1118

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X FL00058091 WA Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

810 Metcalf St
Sedro Woolley, WA 98284-1423

Mailing address

810 Metcalf St
Sedro Woolley, WA 98284-1423

Other identifiers 2

IdentifierTypeStateIssuer
6023394MedicaidWA
4928086OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • RAINIER LTC PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holland Drug Company3 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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1063448744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 METCALF ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 METCALF ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841423",
            "telephone_number": "360-855-2800",
            "fax_number": "360-855-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANIER HOME HEALTHCARE PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-726-1118"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "FL00058091",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6023394",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4928086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINIER LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.