Acts Pharmacy and Healthcare Services, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ACTS PHARMACY AND HEALTHCARE SERVICES, LLC

Practice address

1901 S Union Ave BLDG B Ste 2011
Tacoma, WA 98405

Phone

(253) 272-0324

Fax

(253) 272-0490

NPI assigned

Jul 11, 2018

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jazel Jane Manongdo Bautista, RPHNPI 1225360993

Title

Governor/Pharmacist-in-Charge

Phone

(253) 306-0225

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• Acts Pharmacy Other name
• Acts Pharmacy and Healthcare Services Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Acts Pharmacy and Healthcare Services, LLC

  dba Acts Pharmacy LTC

  • Long Term Care Pharmacy
  • Tacoma, WA
  • NPI 1487425781
  NPPES parent name

Practitioners 3

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.

• Jazel Jane Manongdo Bautista, RPH

  • Pharmacist
  • Tacoma, WA
  • NPI 1225360993
  NPD Authorized official
• Nga Tu Chuong, PHARMD

  • Pharmacist
  • Puyallup, WA
  • NPI 1184946907
  NPD
• Wilbur Domenden Bautista

  • Medical Technologist
  • Tacoma, WA
  • NPI 1205315983
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1720564925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "BLDG B STE 2011",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE BLDG B STE 2011",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-0324",
            "fax_number": "253-272-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTS PHARMACY AND HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JAZEL JANE",
        "authorized_official_middle_name": "MANONGDO",
        "authorized_official_title_or_position": "GOVERNOR/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "253-306-0225",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105021",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPARTMENT OF HEALTH - PHARMACY LICENSE",
            "identifier": "PHAR.CF.60864536",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acts Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Acts Pharmacy and Healthcare Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Acts Pharmacy and Healthcare Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacy in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.