Active NPI
Bartell Drug Co
Doing business as Bartell Drugs
- Community/Retail Pharmacy
- Renton, WA
National Provider Identifier
1639281611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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 COMPANY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4906054 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 6032700 | Other | WA | MEDICAID DME |
| 6032700 | Medicaid | WA | |
| P00070933 | Other | WA | MEDICARE B RAILROAD |
| 4906054 | Other | WA | NCPCP |
Other names 1
- BARTELL DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Pharmacist
- Renton, WA
- NPI 1366426736
-
- Pharmacy Technician
- Renton, WA
- NPI 1659358216
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.