Organization Active NPI

Respack LLC

  • Long Term Care Pharmacy
  • Vancouver, WA
National Provider Identifier
1376086587
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
44154MS Issued in ID
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

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2166391OtherPK

Other names 1

  • Respack LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.