NPIMap

Organization Active NPI

JRK Pharma Inc

  • Clinic/Center
  • Edmonds, WA
National Provider Identifier
1063720456
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PHAR.CF.60180649 Issued in WA
Legal business name
JRK PHARMA INC
Doing business as
edmonds pharmacy @ stevens health center ltc
Practice address
21701 76TH Ave W
Ste 104 B
Edmonds, WA 98026-7536
Phone
(425) 346-2148
Fax
(425) 977-4881
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Mr. Saikrishna Arumilli, RPH
Title
Owner
Phone
(425) 346-2148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PHAR.CF.60180649 WA Primary

Addresses

Primary practice location

21701 76TH Ave W
Ste 104 B
Edmonds, WA 98026-7536

Mailing address

21701 76TH Ave W
Ste 104 B
Edmonds, WA 98026-7536
Phone (425) 346-2148

Other names 1

  • edmonds pharmacy @ stevens health center ltc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edmonds Pharmacy Stevens Health Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1063720456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W",
            "address_2": "STE 104 B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-346-2148",
            "fax_number": "425-977-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W",
            "address_2": "STE 104 B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-346-2148",
            "fax_number": "425-977-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRK PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "ARUMILLI",
        "authorized_official_first_name": "SAIKRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-346-2148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "PHAR.CF.60180649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "edmonds pharmacy @ stevens health center ltc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.