NPIMap

Organization Active NPI

Kelley-Ross & Associates, Inc.

  • Long Term Care Pharmacy
  • Seattle, WA
National Provider Identifier
1154513919
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
FL00059155 Issued in WA
Legal business name
KELLEY-ROSS & ASSOCIATES, INC.
Doing business as
Kelley-Ross Long Term Care Pharmacy
Practice address
2324 Eastlake Ave E
Suite 400
Seattle, WA 98102-3345
Phone
(206) 838-4590
Fax
(206) 838-4599
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Ryan N Hansen, PHARMD
Title
Technology Director
Phone
(206) 930-9985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X FL00059155 WA Primary

Addresses

Primary practice location

2324 Eastlake Ave E
Suite 400
Seattle, WA 98102-3345

Mailing address

2324 Eastlake Ave E
Suite 400
Seattle, WA 98102-3345
Phone (206) 838-4590

Other identifiers 2

IdentifierTypeStateIssuer
FL00059155OtherWAPHARMACY LICENSE
6030811MedicaidWA

Other names 1

  • Kelley-Ross Long Term Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1154513919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 EASTLAKE AVE E",
            "address_2": "SUITE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023345",
            "telephone_number": "206-838-4590",
            "fax_number": "206-838-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 EASTLAKE AVE E",
            "address_2": "SUITE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023345",
            "telephone_number": "206-838-4590",
            "fax_number": "206-838-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY-ROSS & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "TECHNOLOGY DIRECTOR",
        "authorized_official_telephone_number": "206-930-9985",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "FL00059155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "FL00059155",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6030811",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelley-Ross Long Term Care 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 Oct 18, 2021; 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.