Active NPI
Rxtra Care Inc
- Community/Retail Pharmacy
- Seattle, WA
National Provider Identifier
1649211509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF.00057811
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6027155 | Medicaid | WA | |
| 2108099 | Other | PK |
Other names 1
- RXTRA CARE PHARMACY
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bellevue, WA
- NPI 1265466023
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bellevue, WA
- NPI 1265466023
Member Of
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.