The Bartell Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00003803 Issued in WA

Legal business name

THE BARTELL DRUG CO

Doing business as

Bartell Drugs #34

Practice address

12946 SE Kent Kangley Rd
Kent, WA 98030-7940

Phone

(253) 631-6874

Fax

(253) 631-7131

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Peter Koo

Title

Sr VP of Pharmacy

Phone

(206) 763-2626

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BARTELL DRUGS #34 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 9

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

• Dena Ann Armstrong

  • Pharmacy Technician
  • Kent, WA
  • NPI 1205812344
  NPD (past)
• Michele Yvonne De Flora-Ross, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Kent, WA
  • NPI 1548244031
  NPD (past)
• Jennifer Marie Gray, RPH

  • Pharmacist
  • Kent, WA
  • NPI 1871577213
  NPD (past)
• Merle M. Hamada

  • Pharmacy Technician
  • Kent, WA
  • NPI 1104171644
  NPD (past)
• Danielle Hiatt

  • Pharmacy Technician
  • Kent, WA
  • NPI 1205099884
  NPD (past)
• Won Tae Lee, DOCTOR OF PHARMACY

  • Pharmacist
  • Kent, WA
  • NPI 1457322786
  NPD (past)
• Shimaa Musa Ahmed Mohamed, RPH

  • Pharmacist
  • Kent, WA
  • NPI 1962111625
  NPD (past)
• Ken Steckler, PHARMD

  • Pharmacist
  • Renton, WA
  • NPI 1215544960
  NPD (past)
• Henry Duane Stortenbecker, RPH

  • Pharmacist
  • Kent, WA
  • NPI 1063495513
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1073621785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DELRIDGE WAY SW",
            "address_2": "STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061249",
            "telephone_number": "206-767-1316",
            "fax_number": "206-767-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12946 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307940",
            "telephone_number": "253-631-6874",
            "fax_number": "253-631-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "SR VP OF PHARMACY",
        "authorized_official_telephone_number": "206-763-2626"
    },
    "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": "CF00003803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008726",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333520032",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTELL DRUGS #34",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Adeline Thamert, LMP
• Luke Thao, LMFTA
• Nitin Thapa, ND
• Thawminds Mental Health Service LLC
• The Affirmative Collective
• Therapeutic Health Services (THS Kent Branch)
• Therapy Management Services, PLLC (Renton Hand and Physical Therapy, LLC)
• Sandy K Thluai, BS, MBA
• Benjamin Paul Thomas-Kennedy
• Antony Thomas

• Community/Retail Pharmacy in Kent, WA
• Providers in Kent, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.