Active NPI
Rxtracare Pharmacy Inc
- Pharmacy
- Bellevue, WA
National Provider Identifier
1104821701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- RXTRACARE PHARMACY INC
- Doing business as
- U & I PHARMACY
- Practice address
- 29 148TH Ave SE
Bellevue, WA 98007-5113 - Phone
- (425) 747-3800
- Fax
- (425) 641-7203
- NPI assigned
- Jun 20, 2005
- 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
- Mrs. Holly Henry
- Title
- President
- Phone
- (206) 632-7613
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WA | ||
| Pharmacy | 333600000X | WA | Primary |
Addresses
Primary practice location
29 148TH Ave SE
Bellevue, WA 98007-5113
Mailing address
29 148TH Ave SE
Bellevue, WA 98007-5113
Phone (425) 747-3800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9035346 | Medicaid | WA | |
| 6146005 | Medicaid | WA | |
| 9044983 | Medicaid | WA | |
| 4900595 | Other | WA | NABP |
Other names 1
- U & I PHARMACY
National Provider Directory
National Provider DirectoryLocations
29 148th Ave SE
Bellevue, WA 98007
Phone (425) 747-3800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bellevue, WA
- NPI 1922384593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104821701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 148TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075113",
"telephone_number": "425-747-3800",
"fax_number": "425-641-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 148TH AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075113",
"telephone_number": "425-747-3800",
"fax_number": "425-641-7203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RXTRACARE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-632-7613",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9035346",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6146005",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9044983",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4900595",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "U & I PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.