Organization Active NPI

Rankos Stadium Pharmacy Inc

  • Community/Retail Pharmacy
  • Tacoma, WA
National Provider Identifier
1710092762
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RANKOS STADIUM PHARMACY INC
Practice address
101 N Tacoma Ave
Tacoma, WA 98403-2631
Phone
(253) 383-2411
Fax
(253) 572-4329
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Authorized official

Name
Elizabeth RankosNPI 1588914428
Title
Pharmacist
Phone
(253) 383-2411

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Pharmacy 333600000X CF00002934 WA
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

101 N Tacoma Ave
Tacoma, WA 98403-2631

Mailing address

101 N Tacoma Ave
Tacoma, WA 98403-2657

Other identifiers 4

IdentifierTypeStateIssuer
0008703OtherWADEPT OF L & I
0191155OtherWADEPT OF L & I DME
4909620OtherOTHER ID NUMBER-COMMERCIAL NUMBER
6003065MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000412 WA Part B Supplier - Mass Immunization (Roster Biller Only) 1759474489 Practice locations: Tacoma, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2053905Rankos Stadium Pharmacy101 N Tacoma Ave, Tacoma, WA 98403Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

101 N Tacoma Ave
Tacoma, WA 98403
Phone (253) 383-2411

Practitioners & affiliated clinicians

Practitioners 4

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767484800000",
    "number": "1710092762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N TACOMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032657",
            "fax_number": "253-572-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N TACOMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032631",
            "telephone_number": "253-383-2411",
            "fax_number": "253-572-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANKOS STADIUM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A",
        "authorized_official_last_name": "RANKOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "253-383-2411"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF00002934",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L & I",
            "identifier": "0008703",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L & I  DME",
            "identifier": "0191155",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4909620",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003065",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.