The Bartell Drug Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF60737754 Issued in WA

Legal business name

THE BARTELL DRUG CO

Doing business as

Bartell Drugs #75

Practice address

35013 SE Snoqualmie Pkwy
Snoqualmie, WA 98065-9709

Phone

(425) 363-6045

Fax

(425) 831-0098

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Bartell Drugs #75 Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• The Bartell Drug Co

  dba Bartell Drugs #71

  • Pharmacy
  • Seattle, WA
  • NPI 1073060976

  O20161118002236

  Same enrollment
• The Bartell Drug Co

  dba Bartell Drugs #74

  • Community/Retail Pharmacy
  • Arlington, WA
  • NPI 1265935795

  O20161118002236

  Same enrollment
• The Bartell Drug Co

  dba Bartell Drugs #77

  • Pharmacy
  • Seattle, WA
  • NPI 1518517101

  O20161118002236

  Same enrollment
• The Bartell Drug Co

  dba Bartell Drugs #73

  • Pharmacy
  • Seattle, WA
  • NPI 1841720299

  O20161118002236

  Same enrollment
• Washington CVS Pharmacy LLC

  dba Bartell Drugs #76

  • Pharmacy
  • Lake Stevens, WA
  • NPI 1508348020

  O20161118002236

  Same enrollment

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

CLIA laboratory certificates

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1376063446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DELRIDGE WAY SW",
            "address_2": "SUITE #400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98106",
            "telephone_number": "206-763-2626",
            "fax_number": "206-767-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35013 SE SNOQUALMIE PKWY",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659709",
            "telephone_number": "425-363-6045",
            "fax_number": "425-831-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARTELL DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "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": "WA",
            "license": "CF60737754",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169660",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartell Drugs #75",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruby Sunny
• Susan K Robins, DDS, PS (Snoqualmie Ridge Family Dental)
• Target99 Inc
• Brenda Marie Taylor, RD
• Heidi J Temple, LMP
• The Row Health Collective (ROW Health)
• Deanna Dynelle Thompson, MS
• Rachel Ellen Thompson, MD
• Todd Medical Foundation
• Karen Betty Tom, M.D.

• Pharmacy in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.