NPIMap

Organization Active NPI

Rxtra Care Home Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Bellevue, WA
National Provider Identifier
1265466023
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RXTRA CARE HOME MEDICAL SUPPLY
Doing business as
U & I Pharmacy
Practice address
29 148TH Ave SE
Bellevue, WA 98007
Phone
(425) 747-3801
Fax
(425) 373-1786
NPI assigned
Jul 10, 2006
Organization subpart
Yes
Parent organization
RXTRA CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Hollis W Henry, PHARMACIST
Title
President
Phone
(206) 417-8066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

29 148TH Ave SE
Bellevue, WA 98007

Mailing address

7317 35TH Ave NE
Seattle, WA 98115
Phone (206) 417-8066

Other identifiers 1

IdentifierTypeStateIssuer
8029340MedicaidWA

Other names 1

  • U & I Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rxtra Care Inc3 organizations share this tax ID, including this one
Part of
Rxtra Care Inc

Other organizations with this tax ID 2

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

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

29 148th Ave SE
#U
Bellevue, WA 98007
Phone (425) 747-3800

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1265466023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-417-8066",
            "fax_number": "206-417-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 148TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98007",
            "telephone_number": "425-747-3801",
            "fax_number": "425-373-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXTRA CARE HOME MEDICAL SUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RXTRA CARE INC.",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-417-8066",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8029340",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U & I Pharmacy",
            "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 Apr 3, 2014; 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.