Organization Active NPI

Rxtra Care Inc

  • Community/Retail Pharmacy
  • Seattle, WA
National Provider Identifier
1649211509
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF.00057811 Issued in WA
Legal business name
RXTRA CARE INC
Practice address
7317 35TH Ave NE
Seattle, WA 98115-5918
Phone
(206) 417-8066
Fax
(206) 417-8076
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Hollis Henry
Title
President
Phone
(206) 417-8066

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF.00057811 WA Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

7317 35TH Ave NE
Seattle, WA 98115-5918

Mailing address

7317 35TH Ave NE
Seattle, WA 98115-5918
Phone (206) 417-8066

Other identifiers 2

IdentifierTypeStateIssuer
6027155MedicaidWA
2108099OtherPK

Other names 1

  • RXTRA CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

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

Locations

2201 N 56th St
Seattle, WA 98103

11003 35th Ave NE
Seattle, WA 98125
Phone (206) 417-8066

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1649211509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155918",
            "telephone_number": "206-417-8066",
            "fax_number": "206-417-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155918",
            "telephone_number": "206-417-8066",
            "fax_number": "206-417-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXTRA CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-417-8066"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF.00057811",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6027155",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RXTRA CARE 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 Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.