Organization Active NPI

Ostroms Enterprises Inc

Doing business as Ostroms Drug & Gift

  • Community/Retail Pharmacy
  • Kenmore, WA
National Provider Identifier
1285608729
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OSTROMS ENTERPRISES INC
Doing business as
Ostroms Drug & Gift
Practice address
6414 NE Bothell Way
Kenmore, WA 98028-4819
Phone
(425) 486-7711
Fax
(425) 486-9639
NPI assigned
Feb 13, 2006
Last updated
Oct 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Mr. Jeffrey S Harrell, PHARMD
Title
Vice President
Phone
(360) 244-5984

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X CF00000620 WA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

6414 NE Bothell Way
Kenmore, WA 98028-4819

Mailing address

PO Box 82057
Kenmore, WA 98028-0057
Phone (425) 486-7711

Other identifiers 1

IdentifierTypeStateIssuer
6142202MedicaidWA

Other names 1

  • Ostroms Drug & Gift Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051207001048 WA Part B Supplier - Mass Immunization (Roster Biller Only) 2466473335 Practice locations: Kenmore, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1285608729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82057",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980280057",
            "telephone_number": "425-486-7711",
            "fax_number": "425-486-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 NE BOTHELL WAY",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284819",
            "telephone_number": "425-486-7711",
            "fax_number": "425-486-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTROMS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "360-244-5984",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00000620",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6142202",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ostroms Drug & Gift",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ostroms Drug & Gift",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.