Active NPI
Respack LLC
- Long Term Care Pharmacy
- Vancouver, WA
National Provider Identifier
1376086587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 44154MS
- Legal business name
- RESPACK LLC
- Practice address
- 18110 SE 34TH St BLDG 2
Vancouver, WA 98683-9440 - Phone
- (800) 330-3665
- Fax
- (800) 982-2730
- NPI assigned
- Nov 21, 2016
- 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
- Brian Ikeda
- Title
- Pharmacist in Charge
- Phone
- (800) 330-3665
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHA-MOP-LIC-50122 | MT | |
| Community/Retail Pharmacy | 3336C0003X | RP-0003332-CS | OR | |
| Long Term Care Pharmacy | 3336L0003X | NR-51309 | WY | |
| Long Term Care Pharmacy | 3336L0003X | 44154MS | ID | Primary |
| Long Term Care Pharmacy | 3336L0003X | PHAR.FC.6068072 | WA |
Addresses
Primary practice location
18110 SE 34TH St BLDG 2
Vancouver, WA 98683-9440
Mailing address
18110 SE 34TH St Ste 290
Vancouver, WA 98683-9418
Phone (800) 330-3665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166391 | Other | PK |
Other names 1
- Respack LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1376086587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18110 SE 34TH ST STE 290",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839418",
"telephone_number": "800-330-3665",
"fax_number": "800-982-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18110 SE 34TH ST BLDG 2",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839440",
"telephone_number": "800-330-3665",
"fax_number": "800-982-2730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESPACK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "IKEDA",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "800-330-3665"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MT",
"license": "PHA-MOP-LIC-50122",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OR",
"license": "RP-0003332-CS",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "WY",
"license": "NR-51309",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "ID",
"license": "44154MS",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "WA",
"license": "PHAR.FC.6068072",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2166391",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Respack LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vancouver, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.