NPIMap

Organization Active NPI

Ostroms Enterprises Inc

Doing business as Ostrom's Drug and Gift LTC

  • Long Term Care Pharmacy
  • Kenmore, WA
National Provider Identifier
1396499026
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
OSTROMS ENTERPRISES INC
Doing business as
Ostrom's Drug and Gift LTC
Practice address
6414 NE Bothell Way
Kenmore, WA 98028-4819
Phone
(425) 486-7711
Fax
(425) 486-9639
NPI assigned
Feb 10, 2022
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Jeffrey Shane Harrell, PHARMD
Title
Vice President
Phone
(425) 486-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

6414 NE Bothell Way
Kenmore, WA 98028-4819

Mailing address

PO Box B
Ilwaco, WA 98624-0167

Other names 1

  • Ostrom's Drug and Gift LTC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2067817Ostrom's Drug and Gift6414 NE Bothell Way, Kenmore, WA 98028Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1396499026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 NE BOTHELL WAY",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284819",
            "telephone_number": "425-486-7711",
            "fax_number": "425-486-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTROMS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "425-486-7711",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ostrom's Drug and Gift LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ostrom's Drug and Gift LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.