NPIMap

Organization Active NPI

Alexandria Drugs LLC

Doing business as Senior Care Global

  • Long Term Care Pharmacy
  • Kent, WA
National Provider Identifier
1275089229
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
CF.60679069 Issued in WA
Legal business name
ALEXANDRIA DRUGS LLC
Doing business as
Senior Care Global
Practice address
25680 104TH Ave SE
Room 1
Kent, WA 98030-7610
Phone
(253) 236-4073
Fax
(253) 243-7943
NPI assigned
Aug 30, 2016
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Khaled AbdelrazzakNPI 1790097574
Title
Owner/Pic
Phone
(206) 622-6094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X CF.60679069 WA Primary

Addresses

Primary practice location

25680 104TH Ave SE
Room 1
Kent, WA 98030-7610

Mailing address

25680 104TH Ave SE
Room 1
Kent, WA 98030-7610
Phone (253) 236-4073

Other identifiers 2

IdentifierTypeStateIssuer
2159068OtherPK
2074369MedicaidWA

Other names 1

  • Senior Care Global Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alexandria Drugs LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

25680 104th Ave SE
Rm 1
Kent, WA 98030
Phone (253) 236-4073

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1275089229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25680 104TH AVE SE",
            "address_2": "ROOM 1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307610",
            "telephone_number": "253-236-4073",
            "fax_number": "253-243-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25680 104TH AVE SE",
            "address_2": "ROOM 1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307610",
            "telephone_number": "253-236-4073",
            "fax_number": "253-243-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "ABDELRAZZAK",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "206-622-6094"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "CF.60679069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159068",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074369",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Global",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.