Organization Active NPI

Onyx Pharmacy, Inc.

Doing business as A-Z Pharmacy & Medical Supply

  • Pharmacy
  • Bellevue, WA
National Provider Identifier
1659353910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
CF00058238 Issued in WA
Legal business name
ONYX PHARMACY, INC.
Doing business as
A-Z Pharmacy & Medical Supply
Practice address
210 105TH Ave NE
Bellevue, WA 98004-5704
Phone
(425) 454-8950
Fax
(425) 454-8904
NPI assigned
Nov 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Oleg Ordinartsev
Title
Ceo
Phone
(425) 454-8950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CF00058238 WA Primary

Addresses

Primary practice location

210 105TH Ave NE
Bellevue, WA 98004-5704

Mailing address

210 105TH Ave NE
Bellevue, WA 98004-5704
Phone (425) 454-8950

Other identifiers 1

IdentifierTypeStateIssuer
CF00058238OtherWAPHARMACY LICENSE

Other names 1

  • A-Z Pharmacy & Medical Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A-Z Pharmacy Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

210 105th Ave NE
Bellevue, WA 98004
Phone (425) 454-8950

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659353910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 105TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045704",
            "telephone_number": "425-454-8950",
            "fax_number": "425-454-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 105TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045704",
            "telephone_number": "425-454-8950",
            "fax_number": "425-454-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORDINARTSEV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-454-8950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00058238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "CF00058238",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-Z Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.