The Bartell Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60157235 Issued in WA

Legal business name

THE BARTELL DRUG CO

Doing business as

Bartell Drugs #20

Practice address

3620 Factoria Blvd SE
Bellevue, WA 98006-6128

Phone

(425) 644-7529

Fax

(425) 502-5482

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Peter Koo

Title

Vice President of Pharmacy

Phone

(206) 767-1316

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bartell Drugs #20 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Bartell Drug Co

  dba Bartell Drugs #45

  • Community/Retail Pharmacy
  • Renton, WA
  • NPI 1063524940

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carri Ranee Collins, PHARMD

  • Pharmacist
  • Bellevue, WA
  • NPI 1063713584
  NPD (past)
• Miracle Ruth Edison, PH60920591

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bellevue, WA
  • NPI 1003461260
  NPD (past)
• Brandon Tran, PHARMD

  • Pharmacist
  • Bellevue, WA
  • NPI 1013252634
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1194043018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DELRIDGE WAY SW STE 400",
            "address_2": "STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061273",
            "telephone_number": "206-763-2626",
            "fax_number": "206-767-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 FACTORIA BLVD SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066128",
            "telephone_number": "425-644-7529",
            "fax_number": "425-502-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PHARMACY",
        "authorized_official_telephone_number": "206-767-1316"
    },
    "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": "60157235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartell Drugs #20",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Thatcher, RN
• April Thatcher, PHARM.D
• John L Thayer, M.D.
• Mary Kathryn Thayer, M.D.
• Aamera Thazyeen, M.D.
• The Bartell Drug Co (Bartell Drugs #27)
• The Bartell Drug Company (Bartell Drugs 13)
• The Cataract Vision Institute LLC
• The Center for Optimal Health
• The Center for Oral & Maxillofacial Surgery

• Community/Retail Pharmacy in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.