Kelley-Ross & Assoc Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

CF00003637 Issued in WA

Legal business name

KELLEY-ROSS & ASSOC INC

Doing business as

Union Center Pharmacy

Practice address

2324 Eastlake Ave E
Suite 405
Seattle, WA 98102-3345

Phone

(206) 441-9174

Fax

(206) 448-4406

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ryan D Oftebro, PHARMD

Title

President

Phone

(206) 622-3565

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Union Center Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Kelley-Ross & Assoc Inc

  • Pharmacy
  • Seattle, WA
  • NPI 1669517025

  1456448703

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Kelley-Ross & Assoc Inc

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1538817143

  O20210623001977

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan N Hansen, PHARM.D.

  • Pharmacist
  • Seattle, WA
  • NPI 1588651541
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1497890941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 EASTLAKE AVE E",
            "address_2": "SUITE 405",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023345",
            "telephone_number": "206-441-9174",
            "fax_number": "206-448-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 EASTLAKE AVE E",
            "address_2": "SUITE 405",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023345",
            "telephone_number": "206-441-9174",
            "fax_number": "206-448-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY-ROSS & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "OFTEBRO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-622-3565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00003637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4907929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY",
            "identifier": "CF00003637",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Union Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Keller
• Thomas Leo Keller
• Kelley M. Washington DDS,PS
• Daniel Kelley-Petersen, MAED, NCC, LMHC
• Kelley-Ross & Assoc Inc
• Kelley-Ross & Assoc Inc
• Kelley-Ross & Assoc Inc
• Kelley-Ross & Assoc Inc
• Kelley-Ross & Associates, Inc.
• Kelley-Ross and Assoc, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.