Covington Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CF00057094 Issued in WA

Legal business name

COVINGTON PHARMACY

Practice address

4300 Talbot Rd S
106
Renton, WA 98055-6238

Phone

(425) 228-2210

Fax

(425) 235-4916

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

James R Ramseth, RPH

Title

Owner

Phone

(253) 631-1200

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Cornell's Valley Pharmacy Homecare Doing business as

Tax ID family

Cornell'S Valley Pharmacy Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Covington Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Covington, WA
  • NPI 1407921216
  NPD tax ID

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740355577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S",
            "address_2": "106",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-228-2210",
            "fax_number": "425-235-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S",
            "address_2": "106",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-228-2210",
            "fax_number": "425-235-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMSETH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-631-1200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "CF00057094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6121008",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9026618",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9045626",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR  & INDUSTRIES",
            "identifier": "13021",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornell's Valley Pharmacy Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Cour, MA, CCC, SLP
• Justin Courtney, D.D.S.
• Sydney Louis Cousin Jr., MD
• Claudia Jimena Covelli Velez
• Sandra Louise Covey, P.T.A.
• Emily Rose Cowin
• Joedanna Coy
• Ana Craft, PT
• Craig D. Dahl D.C. Inc. PS
• Craig K. Fujisaki, M.D., Inc, P.S.

• Durable Medical Equipment & Medical Supplies in Renton, WA
• Providers in Renton, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• 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.

Verify at the official NPI Registry.