Active NPI
Washington CVS Pharmacy LLC
Doing business as Bartell Drugs #76
- Pharmacy
- Lake Stevens, WA
National Provider Identifier
1508348020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- CF.60861918
- Legal business name
- WASHINGTON CVS PHARMACY LLC
- Doing business as
- Bartell Drugs #76
CVS Pharmacy #11688 - Practice address
- 9010 Market PL
Lake Stevens, WA 98258-4908 - Phone
- (425) 334-4028
- Fax
- (425) 335-1702
- NPI assigned
- Aug 31, 2018
- Last updated
- Sep 9, 2025
- Organization subpart
- Yes
- Parent organization
- THE BARTELL DRUG CO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan F Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 765-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | CF.60861918 | WA | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
9010 Market PL
Lake Stevens, WA 98258-4908
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 2
- Bartell Drugs #76
- CVS Pharmacy #11688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150505002664 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224259734 |
This NPI is an additional NPI on the enrollment Practice locations: Puyallup, WA; Redmond, WA; Renton, WA; Richland, WA; Seattle, WA; Silverdale, WA; Spokane, WA; Tacoma, WA… |
| O20161118002236 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2062305501 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arlington, WA; Lake Stevens, WA; Seattle, WA; Snoqualmie, WA |
| O20251113002069 | WA | DME Supplier - Pharmacy | 8224259734 | Practice locations: Lake Stevens, WA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Bartell Drugs #74
- Community/Retail Pharmacy
- Arlington, WA
- NPI 1265935795
O20161118002236
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2329395 | CVS Pharmacy #11688 | Certificate of waiver | Apr 4, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #11688 | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Ent… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Washington CVS Pharmacy LLC
- Part of
- Washington CVS Pharmacy LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
9010 Market Pl
Lake Stevens, WA 98258
Phone (425) 334-2100
4025 Delridge Way SW
Seattle, WA 98106
Phone (206) 763-2626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1508348020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 MARKET PL",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982584908",
"telephone_number": "425-334-4028",
"fax_number": "425-335-1702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON CVS PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE BARTELL DRUG CO",
"enumeration_date": "2018-08-31",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-765-1500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "CF.60861918",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bartell Drugs #76",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CVS Pharmacy #11688",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake Stevens, WA
- Andrea Walker, RDH
- Walsh Chiropractic PLLC (Market Place Chiropractic)
- Daniel Peter Walsh, DC
- Jennifer Walter, LMHC, SUDP
- Kayla Wartinger, PT, DPT
- Washington CVS Pharmacy LLC (CVS Pharmacy #16672)
- Washington Dental Corporation PC (Lake Stevens Modern Dentistry)
- Rachel Kathryn Watson, PHARMD
- Tyler Joseph Watson, PHARMD.
- Wellness Workforce LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.