Active NPI
The Bartell Drug Co
- Community/Retail Pharmacy
- Arlington, WA
National Provider Identifier
1265935795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHAR.CF.6082503
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176305 | Other | PK |
Other names 1
- Bartell Drugs #74
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2146426 | Bartell Drugs #74 | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacy Technician
- Arlington, WA
- NPI 1821715251
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.