Organization Active NPI

Hansol LLC.

  • Community/Retail Pharmacy
  • Federal Way, WA
National Provider Identifier
1124384482
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HANSOL LLC.
Practice address
1401 S 320TH St Ste G
Federal Way, WA 98003
Phone
(253) 719-8554
Fax
(253) 719-8673
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Mrs. Jin KooNPI 1629545710
Title
President/Pic
Phone
(253) 719-8554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WA
Community/Retail Pharmacy 3336C0003X WA Primary

Addresses

Primary practice location

1401 S 320TH St Ste G
Federal Way, WA 98003

Mailing address

1401 S 320TH St Ste G
Federal Way, WA 98003
Phone (253) 719-8554

Other names 1

  • Onuri Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201216000678 WA Part B Supplier - Mass Immunization (Roster Biller Only) 0840602835 Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

1401 S 320TH St Ste G
Federal Way, WA 98003
Phone (253) 719-8554

33507 9th Ave S
Ste B2
Federal Way, WA 98003
Phone (253) 719-8554

1014 S 320th St
Ste G
Federal Way, WA 98003
Phone (253) 719-8554

Practitioners & affiliated clinicians

Practitioners 3

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": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1124384482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S 320TH ST STE G",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-719-8554",
            "fax_number": "253-719-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S 320TH ST STE G",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-719-8554",
            "fax_number": "253-719-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSOL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "253-719-8554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onuri Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Onuri Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.