Organization Active NPI

Cost Less Senior Services Inc

  • Long Term Care Pharmacy
  • Gig Harbor, WA
National Provider Identifier
1073659637
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
CF.60334704 Issued in WA
Legal business name
COST LESS SENIOR SERVICES INC
Practice address
14216 92ND Ave NW Ste B
D
Gig Harbor, WA 98329-8710
Phone
(253) 857-7677
Fax
(253) 857-2983
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Jeff Hendrickson
Title
Co Owner and MNGR
Phone
(253) 857-7677

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X CF.60334704 WA Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

14216 92ND Ave NW Ste B
D
Gig Harbor, WA 98329-8710

Mailing address

PO Box 823
Wauna, WA 98395-0823
Phone (253) 857-7677

Other identifiers 2

IdentifierTypeStateIssuer
2110915OtherPK
6023824MedicaidWA

Other names 1

  • COSTLESS SENIOR SERVICES Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070703000786 WA Part B Supplier - Pharmacy 4082714142 Practice locations: Gig Harbor, WA
O20100930044416 WA DME Supplier - Pharmacy 4082714142 Practice locations: Gig Harbor, WA

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
Costless Senior Services14216 92ND Ave NW, Gig Harbor, WA 98329-8710(253) 857-7677 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Oct 10, 2006

National Provider Directory

National Provider Directory

Locations

14216 92nd Ave NW
#B
Gig Harbor, WA 98329
Phone (253) 857-7677

14218 92nd Ave NW
Ste D
Gig Harbor, WA 98329
Phone (253) 857-7677

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1073659637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823",
            "city": "WAUNA",
            "state": "WA",
            "postal_code": "983950823",
            "telephone_number": "253-857-7677",
            "fax_number": "253-857-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14216 92ND AVE NW STE B",
            "address_2": "D",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983298710",
            "telephone_number": "253-857-7677",
            "fax_number": "253-857-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COST LESS SENIOR SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CO OWNER AND MNGR",
        "authorized_official_telephone_number": "253-857-7677"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "CF.60334704",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110915",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6023824",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COSTLESS SENIOR SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.