Organization Active NPI

Easterns Pharmacy LLC

Doing business as Easterns Pharmacy

  • Community/Retail Pharmacy
  • Seattle, WA
National Provider Identifier
1700423639
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EASTERNS PHARMACY LLC
Doing business as
Easterns Pharmacy
Practice address
515 Minor Ave Ste 120
Seattle, WA 98104-2138
Phone
(206) 662-6094
Fax
(206) 664-3667
NPI assigned
Dec 10, 2019
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
EASTERNS PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Rama Narasimha Rao Maganti, RPHNPI 1972097004
Title
Owner
Phone
(469) 406-6588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

515 Minor Ave Ste 120
Seattle, WA 98104-2138

Mailing address

515 Minor Ave Ste 120
Seattle, WA 98104-2138
Phone (206) 662-6094

Other names 1

  • Easterns Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809004056 WA Part B Supplier - Pharmacy 6709248651 Practice locations: Seattle, WA

National Provider Directory

National Provider Directory
Tax ID family
Easterns Pharmacy LLC2 organizations share this tax ID, including this one
Part of
Easterns Pharmacy LLC

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1700423639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042138",
            "telephone_number": "206-662-6094",
            "fax_number": "206-662-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042138",
            "telephone_number": "206-662-6094",
            "fax_number": "206-664-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERNS PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERNS PHARMACY LLC",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "MAGANTI",
        "authorized_official_first_name": "RAMA NARASIMHA RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-406-6588",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easterns 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 Jun 19, 2023; 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.

Verify at the official NPI Registry.