A & H Stores, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF60260557 Issued in WA

Legal business name

A & H STORES, INC.

Doing business as

A & H Pharmaceutical Services

Practice address

25022 104TH Ave SE
Suite E
Kent, WA 98030-2822

Phone

(253) 852-1123

Fax

(253) 852-3167

NPI assigned

Mar 7, 2006

Last updated

Jun 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stacey J Hendrickson

Title

General Counsel

Phone

(253) 520-0333

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• A & H Pharmaceutical Services Doing business as

Locations

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1467429688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25022 104TH AVE SE",
            "address_2": "SUITE E",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302822",
            "telephone_number": "253-520-0333",
            "fax_number": "253-520-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25022 104TH AVE SE",
            "address_2": "SUITE E",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302822",
            "telephone_number": "253-852-1123",
            "fax_number": "253-852-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & H STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "253-520-0333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF60260557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6028419",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4931362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & H Pharmaceutical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.