Active NPI
Alexandria Drugs
Doing business as Eastern's Pharmacy LTC
- Long Term Care Pharmacy
- Seattle, WA
National Provider Identifier
1215394440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- ALEXANDRIA DRUGS
- Doing business as
- Eastern's Pharmacy LTC
- Practice address
- 515 Minor Ave Ste 120B
Seattle, WA 98104-2138 - Phone
- (206) 622-2430
- Fax
- (206) 622-3667
- NPI assigned
- Jan 19, 2016
- Last updated
- Jan 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khaled Abdelrazzak
- Title
- Owner/Pic
- Phone
- (253) 304-9956
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
515 Minor Ave Ste 120B
Seattle, WA 98104-2138
Mailing address
515 Minor Ave
Ste# 120
Seattle, WA 98104-2120
Phone (206) 622-2430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2156186 | Other | PK |
Other names 1
- Eastern's Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- Alexandria Drugs LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
515 Minor Ave
Ste 120B
Seattle, WA 98104
Phone (206) 622-2430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1215394440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 MINOR AVE",
"address_2": "STE# 120",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042120",
"telephone_number": "206-622-2430",
"fax_number": "206-622-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MINOR AVE STE 120B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042138",
"telephone_number": "206-622-2430",
"fax_number": "206-622-3667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDRIA DRUGS",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "ABDELRAZZAK",
"authorized_official_first_name": "KHALED",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "253-304-9956"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2156186",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastern's Pharmacy LTC",
"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 Jan 20, 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.