The Bartell Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00057212 Issued in WA

Legal business name

THE BARTELL DRUG CO

Practice address

1850 S Mildred St
Tacoma, WA 98465-1608

Phone

(253) 460-1879

Fax

(253) 564-1412

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Director

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BARTELL DRUGS #57 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Lorraine Gallagher, RPH

  • Pharmacist
  • University Place, WA
  • NPI 1841278710
  NPD (past)
• Raymond Bryan Heilman

  • Pharmacist
  • University Place, WA
  • NPI 1720063373
  NPD (past)
• Julie Anne Waterfield, PHARMD

  • Pharmacist
  • University Place, WA
  • NPI 1306374798
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1356423958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY CMNS STE 400",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S MILDRED ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984651608",
            "telephone_number": "253-460-1879",
            "fax_number": "253-564-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "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": "CF00057212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107478",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6025860",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333520058",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTELL DRUGS #57",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BARTELL DRUGS #57",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kisha Gautami Thayapran, MD
• Michael Robert Berg Thayer
• Lynn Thayrich, MA, LMHC, MHP
• The Aesthetic Surgery Centre, PLLC
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• The Birthing Inn
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• Community/Retail Pharmacy in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.