Active NPI
Alexandria Drugs LLC
- Community/Retail Pharmacy
- Seattle, WA
National Provider Identifier
1083729032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 60446180
- Legal business name
- ALEXANDRIA DRUGS LLC
- Practice address
- 515 Minor Ave
Ste 120
Seattle, WA 98104-2120 - Phone
- (206) 622-6094
- Fax
- (206) 622-3667
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khaled Abdelrazzak
- Title
- Co-Owner/Manager
- Phone
- (253) 304-9956
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 60446180 | WA | Primary |
Addresses
Primary practice location
515 Minor Ave
Ste 120
Seattle, WA 98104-2120
Mailing address
515 Minor Ave
Ste 120
Seattle, WA 98104-2120
Phone (206) 622-6094
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2036117 | Medicaid | WA | |
| 2144607 | Other | PK |
Other names 1
- Eastern's Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490140800000",
"number": "1083729032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 MINOR AVE",
"address_2": "STE 120",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042120",
"telephone_number": "206-622-6094",
"fax_number": "206-622-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MINOR AVE",
"address_2": "STE 120",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042120",
"telephone_number": "206-622-6094",
"fax_number": "206-622-3667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDRIA DRUGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2017-03-22",
"status": "A",
"authorized_official_last_name": "ABDELRAZZAK",
"authorized_official_first_name": "KHALED",
"authorized_official_title_or_position": "CO-OWNER/MANAGER",
"authorized_official_telephone_number": "253-304-9956"
},
"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": "60446180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2036117",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2144607",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastern's 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 Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.