Organization Active NPI

Newport Hills Drug Inc.

  • Community/Retail Pharmacy
  • Bellevue, WA
National Provider Identifier
1164568788
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00056535 Issued in WA
Legal business name
NEWPORT HILLS DRUG INC.
Practice address
5620 119TH Ave SE
Bellevue, WA 98006-3738
Phone
(425) 746-8162
Fax
(425) 746-1143
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
George Weiss, RPH
Title
President
Phone
(425) 746-8162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X CF00056535 WA Primary

Addresses

Primary practice location

5620 119TH Ave SE
Bellevue, WA 98006-3738

Mailing address

5620 119TH Ave SE
Bellevue, WA 98006-3738
Phone (425) 746-8162

Other identifiers 3

IdentifierTypeStateIssuer
4902195OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4902195OtherOTHER ID NUMBER
6054605MedicaidWA

Other names 1

  • NEWPORT HILLS DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

5620 119th Ave SE
Bellevue, WA 98006
Phone (425) 746-8162

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1164568788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 119TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063738",
            "telephone_number": "425-746-8162",
            "fax_number": "425-746-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 119TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063738",
            "telephone_number": "425-746-8162",
            "fax_number": "425-746-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT HILLS DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-746-8162",
        "authorized_official_credential": "RPH"
    },
    "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": "CF00056535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4902195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4902195",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6054605",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWPORT HILLS DRUG",
            "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 Oct 17, 2007; 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.