Organization Active NPI

Rxtracare Pharmacy Inc

  • Pharmacy
  • Bellevue, WA
National Provider Identifier
1104821701
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9035346MedicaidWA
6146005MedicaidWA
9044983MedicaidWA
4900595OtherWANABP

Other names 1

  • U & I PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.