The Bartell Drug Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00000057 Issued in WA

Legal business name

THE BARTELL DRUG COMPANY

Doing business as

Bartell Drugs 13

Practice address

424 Bellevue Way NE
Bellevue, WA 98004-5015

Phone

(425) 454-3194

Fax

(425) 455-5163

NPI assigned

Aug 24, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

THE BARTELL DRUG COMPANYAs reported in NPPES

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

Authorized official

Name

Mr. R. Leon Russell

Title

Pharmacy Operations Coordinator

Phone

(206) 767-1375

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Bartell Drugs 13 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Bartell Drug Store 25

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Fung, RPH

  • Pharmacist
  • Seattle, WA
  • NPI 1699983890
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1255448544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 DENVER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342316",
            "telephone_number": "206-767-1375",
            "fax_number": "206-767-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 BELLEVUE WAY NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045015",
            "telephone_number": "425-454-3194",
            "fax_number": "425-455-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BARTELL DRUG COMPANY",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "206-767-1375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00000057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6034102",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4902094",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "6034102",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B RAILROAD",
            "identifier": "P00070933",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartell Drugs 13",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John L Thayer, M.D.
• Mary Kathryn Thayer, M.D.
• Aamera Thazyeen, M.D.
• The Bartell Drug Co (Bartell Drugs #20)
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• 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 Nov 14, 2007; 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.