Organization Active NPI

The Bartell Drug Co

  • Community/Retail Pharmacy
  • Arlington, WA
National Provider Identifier
1265935795
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.6082503 Issued in WA
Legal business name
THE BARTELL DRUG CO
Practice address
7423 204TH St NE
Arlington, WA 98223-8204
Phone
(360) 403-7455
Fax
(360) 403-0251
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 PHAR.CF.6082503 WA Primary

Addresses

Primary practice location

7423 204TH St NE
Arlington, WA 98223-8204

Mailing address

7423 204TH St NE
Arlington, WA 98223-8204
Phone (360) 403-7455

Other identifiers 1

IdentifierTypeStateIssuer
2176305OtherPK

Other names 1

  • Bartell Drugs #74 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118002236 WA Part B Supplier - Mass Immunization (Roster Biller Only) 2062305501 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arlington, WA; Lake Stevens, WA; Seattle, WA; Snoqualmie, WA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2146426Bartell Drugs #747423 204TH St NE, Arlington, WA 98223Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

7423 204th St NE
Arlington, WA 98223
Phone (360) 403-7455

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": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1265935795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 204TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238204",
            "telephone_number": "360-403-7455",
            "fax_number": "360-403-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 204TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238204",
            "telephone_number": "360-403-7455",
            "fax_number": "360-403-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2025-09-19",
        "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": "PHAR.CF.6082503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartell Drugs #74",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.