NPIMap

Organization Active NPI

Kelley-Ross and Associates, Inc

  • Long Term Care Pharmacy
  • Seattle, WA
National Provider Identifier
1659034510
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KELLEY-ROSS AND ASSOCIATES, INC
Doing business as
Hobson Clinic Pharmacy
Practice address
2120 S Plum St Ste C
Seattle, WA 98144-4539
Phone
(206) 838-4567
Fax
(206) 838-4598
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Brian E. Beach
Title
Vice-President
Phone
(206) 838-4544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2120 S Plum St Ste C
Seattle, WA 98144-4539

Mailing address

2324 Eastlake Ave E Ste 400
Seattle, WA 98102-6539
Phone (206) 838-4567

Other identifiers 1

IdentifierTypeStateIssuer
CF61232648OtherWAPHARMACY LICENSE

Other names 1

  • Hobson Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Island Prescription Pha6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 E Pine St
Ste 100B
Seattle, WA 98122
Phone (206) 641-7766

904 7th Ave
Ste 103
Seattle, WA 98104
Phone (206) 324-6990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1659034510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 EASTLAKE AVE E STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981026539",
            "telephone_number": "206-838-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S PLUM ST STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444539",
            "telephone_number": "206-838-4567",
            "fax_number": "206-838-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY-ROSS AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "206-838-4544"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "CF61232648",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hobson Clinic 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 Oct 18, 2021; 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.