NPIMap

Organization Active NPI

The Bartell Drug Co

  • Community/Retail Pharmacy
  • Seattle, WA
National Provider Identifier
1215325121
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHARCF60510697 Issued in WA
Legal business name
THE BARTELL DRUG CO
Practice address
4025 Delridge Way SW # 310
Seattle, WA 98106-1249
Phone
(206) 764-7992
Fax
(206) 932-0202
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Peter Koo
Title
Sr VP of Pharmacy
Phone
(206) 767-1316

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHARCF60510697 WA Primary

Addresses

Primary practice location

4025 Delridge Way SW # 310
Seattle, WA 98106-1249

Mailing address

4025 Delridge Way SW Ste 400
Seattle, WA 98106-1273
Phone (206) 763-2626

Other identifiers 1

IdentifierTypeStateIssuer
2149444OtherPK

Other names 1

  • Bartell Drug Call Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Bartell Drug Co7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4025 Delridge Way SW
#310
Seattle, WA 98106
Phone (206) 764-7992

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1215325121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DELRIDGE WAY SW 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": "4025 DELRIDGE WAY SW # 310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061249",
            "telephone_number": "206-764-7992",
            "fax_number": "206-932-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "SR VP 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": "PHARCF60510697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartell Drug Call Center",
            "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 Dec 12, 2016; 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.