Active NPI
Quickrx LLC
- Pharmacy
- Brewster, WA
National Provider Identifier
1740988153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- QUICKRX LLC
- Practice address
- 811 US Hwy 97
Brewster, WA 98812 - Phone
- (509) 689-2421
- Fax
- (509) 689-2068
- NPI assigned
- Feb 16, 2023
- 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
- Dinesh Gajjala
- Title
- Owner/Operations Manager
- Phone
- (509) 689-2421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
811 US Hwy 97
Brewster, WA 98812
Mailing address
PO Box 2130
Brewster, WA 98812-2130
Phone (509) 689-2421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167145 | Medicaid | WA |
Other names 1
- BREWSTER PHARMACY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Brewster Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Quickrx LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Brewster, WA
- NPI 1093880908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1740988153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2130",
"city": "BREWSTER",
"state": "WA",
"postal_code": "988122130",
"telephone_number": "509-689-2421",
"fax_number": "509-689-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 US HWY 97",
"city": "BREWSTER",
"state": "WA",
"postal_code": "98812",
"telephone_number": "509-689-2421",
"fax_number": "509-689-2068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUICKRX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-16",
"last_updated": "2023-06-21",
"certification_date": "2023-06-16",
"status": "A",
"authorized_official_last_name": "GAJJALA",
"authorized_official_first_name": "DINESH",
"authorized_official_title_or_position": "OWNER/OPERATIONS MANAGER",
"authorized_official_telephone_number": "509-689-2421"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2167145",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BREWSTER PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BREWSTER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brewster, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.