Organization Active NPI

Bartell Drug Co

Doing business as Bartell Drugs

  • Community/Retail Pharmacy
  • Renton, WA
National Provider Identifier
1639281611
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BARTELL DRUG CO
Doing business as
Bartell Drugs
Practice address
16940 116TH Ave SE
Renton, WA 98058-5952
Phone
(425) 226-2901
Fax
(425) 235-9080
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization
THE BARTELL DRUG COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Ms. Toni R Hall
Title
Third Party Coordinator
Phone
(206) 767-1371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

16940 116TH Ave SE
Renton, WA 98058-5952

Mailing address

4025 Delridge Way SW
Ste 400
Seattle, WA 98106-1273
Phone (206) 767-1371

Other identifiers 5

IdentifierTypeStateIssuer
4906054OtherOTHER ID NUMBER-COMMERCIAL NUMBER
6032700OtherWAMEDICAID DME
6032700MedicaidWA
P00070933OtherWAMEDICARE B RAILROAD
4906054OtherWANCPCP

Other names 1

  • BARTELL DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000423 WA Part B Supplier - Pharmacy 2062305501 This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Bartell Drug Store 19

Locations

16940 116th Ave SE
Renton, WA 98058
Phone (425) 226-2901

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1639281611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DELRIDGE WAY SW",
            "address_2": "STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061273",
            "telephone_number": "206-767-1371",
            "fax_number": "206-767-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16940 116TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585952",
            "telephone_number": "425-226-2901",
            "fax_number": "425-235-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTELL DRUG CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BARTELL DRUG COMPANY",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "THIRD PARTY COORDINATOR",
        "authorized_official_telephone_number": "206-767-1371",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4906054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "6032700",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6032700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B RAILROAD",
            "identifier": "P00070933",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPCP",
            "identifier": "4906054",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTELL DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.