Organization Active NPI

Pharmacy4Humanity

Doing business as AHF Pharmacy

  • Specialty Pharmacy
  • Seattle, WA
National Provider Identifier
1467711259
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PHARMACY4HUMANITY
Doing business as
AHF Pharmacy
Practice address
901 Boren Ave
Suite 800
Seattle, WA 98104-3595
Phone
(206) 624-1391
Fax
(206) 624-1791
NPI assigned
May 14, 2012
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AIDS HEALTHCARE FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Kenneth Scott Carruthers
Title
Chief of Pharmacy
Phone
(323) 860-5366

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHAR.CF.60599829 WA
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

901 Boren Ave
Suite 800
Seattle, WA 98104-3595

Mailing address

18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089

Other identifiers 3

IdentifierTypeStateIssuer
2023489MedicaidWA
2136635OtherPK
61521697OtherWAPHARMACY LICENSE

Other names 1

  • AHF Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20211101000257 WA Part B Supplier - Pharmacy 2668369109 1 other NPI on this enrollment
Practice locations: Seattle, WA
O20240830000575 WA Part B Supplier - Mass Immunization (Roster Biller Only) 6709229826 Practice locations: Seattle, WA
O20240913000812 WA Part B Supplier - Pharmacy 6709229826 Practice locations: Seattle, WA
O20250320001717 WA DME Supplier - Pharmacy 6709229826 Practice locations: Seattle, WA

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ahf Pharmacy901 Boren Ave, Seattle, WA 98104-3534(206) 624-1391 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 24, 2024

National Provider Directory

National Provider Directory
Tax ID family
AIDS Healthecare Foundation27 organizations share this tax ID, including this one
Part of
AIDS Healthcare Foundat

Other organizations with this tax ID 25

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

View all 25

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1467711259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18421 S MAIN ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484609",
            "telephone_number": "310-999-6089",
            "fax_number": "833-261-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE",
            "address_2": "SUITE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043595",
            "telephone_number": "206-624-1391",
            "fax_number": "206-624-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY4HUMANITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIDS HEALTHCARE FOUNDATION",
        "enumeration_date": "2012-05-14",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS",
        "authorized_official_first_name": "KENNETH SCOTT",
        "authorized_official_title_or_position": "CHIEF OF PHARMACY",
        "authorized_official_telephone_number": "323-860-5366"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60599829",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023489",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "61521697",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHF Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHF Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.