NPIMap

Organization Active NPI

Reddi Enterprises Inc

  • Community/Retail Pharmacy
  • Renton, WA
National Provider Identifier
1386195048
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHAR.CF.00058343 Issued in WA
Legal business name
REDDI ENTERPRISES INC
Practice address
1412 SW 43Rd St
120
Renton, WA 98057-4803
Phone
(425) 251-6335
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Authorized official

Name
Dr. Anderson Jolly, PHARMD
Title
Pharmacist
Phone
(425) 251-6335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHAR.CF.00058343 WA Primary

Addresses

Primary practice location

1412 SW 43Rd St
120
Renton, WA 98057-4803

Mailing address

1412 SW 43Rd St
Suite 120
Renton, WA 98057-4803
Phone (425) 251-6335

National Provider Directory

National Provider Directory
Tax ID family
Ready Meds Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1412 SW 43rd St
Ste 120
Renton, WA 98057
Phone (425) 251-6335

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1386195048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST",
            "address_2": "SUITE 120",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "425-251-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST",
            "address_2": "120",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "425-251-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDI ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "425-251-6335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.00058343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.