Organization Active NPI

Sea-J Inc

Doing business as Aberdeen Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, WA
National Provider Identifier
1700912110
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SEA-J INC
Doing business as
Aberdeen Pharmacy
Practice address
1812 Sumner Ave
Ste H
Aberdeen, WA 98520-4602
Phone
(360) 533-1525
Fax
(360) 533-1552
NPI assigned
Feb 27, 2007
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Jeffrey Shane Harrell, PHARMD
Title
Owner
Phone
(360) 859-8659

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1812 Sumner Ave
Ste H
Aberdeen, WA 98520-4602

Mailing address

1812 Sumner Ave
Ste H
Aberdeen, WA 98520-4602
Phone (360) 533-1525

Other identifiers 2

IdentifierTypeStateIssuer
6003958MedicaidWA
4918225OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ABERDEEN PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230228003352 WA Part B Supplier - Pharmacy 5193844983 Practice locations: Aberdeen, WA

National Provider Directory

National Provider Directory

Locations

1812 Sumner Ave
Ste H
Aberdeen, WA 98520
Phone (360) 533-1525

Practitioners & affiliated clinicians

Practitioners 2

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1700912110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 SUMNER AVE",
            "address_2": "STE H",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204602",
            "telephone_number": "360-533-1525",
            "fax_number": "360-533-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SUMNER AVE",
            "address_2": "STE H",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204602",
            "telephone_number": "360-533-1525",
            "fax_number": "360-533-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA-J INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-859-8659",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003958",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4918225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABERDEEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.