NPIMap

Organization Active NPI

A&H Stores Inc.

  • Community/Retail Pharmacy
  • Renton, WA
National Provider Identifier
1801098397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00000011 Issued in WA
Legal business name
A&H STORES INC.
Practice address
2820 NE Sunset Blvd
Renton, WA 98056-3106
Phone
(425) 255-7083
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stacey Hendrickson
Title
Secretary
Phone
(425) 255-7083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF00000011 WA Primary

Addresses

Primary practice location

2820 NE Sunset Blvd
Renton, WA 98056-3106

Mailing address

1420 Maple Ave SW
Renton, WA 98055-3119

Other identifiers 1

IdentifierTypeStateIssuer
6120000MedicaidWA

Other names 1

  • A&H Pharmacy #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A H Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2820 NE Sunset Blvd
Renton, WA 98056
Phone (425) 255-7083

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801098397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MAPLE AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563106",
            "telephone_number": "425-255-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&H STORES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "425-255-7083"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00000011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6120000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A&H Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • 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.