Active NPI
Onyx Pharmacy, Inc.
- Pharmacy
- Kent, WA
National Provider Identifier
1700868064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- CF00058237
- Legal business name
- ONYX PHARMACY, INC.
- Practice address
- 23643 104TH Ave SE
Kent, WA 98031-3315 - Phone
- (253) 852-0159
- NPI assigned
- Nov 14, 2005
- 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
- Mr. Oleg Ordinartsev
- Title
- Ceo
- Phone
- (253) 852-0159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | CF00058237 | WA | Primary |
Addresses
Primary practice location
23643 104TH Ave SE
Kent, WA 98031-3315
Mailing address
23643 104TH Ave SE
Kent, WA 98031-3315
Phone (253) 852-0159
Other names 1
- A-Z Pharmacy & Medical Supply
National Provider Directory
National Provider Directory- Tax ID family
- A-Z Pharmacy Medical Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Bellevue, WA
- NPI 1659353910
Locations
23643 104th Ave SE
Kent, WA 98031
Phone (206) 852-2770
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": "1700868064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23643 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980313315",
"telephone_number": "253-852-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23643 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980313315",
"telephone_number": "253-852-0159"
}
],
"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": "253-852-0159",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "CF00058237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A-Z Pharmacy & Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kent, 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.