NPIMap

Organization Active NPI

JRK Pharma Inc

  • Long Term Care Pharmacy
  • Edmonds, WA
National Provider Identifier
1811299274
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
60180649 Issued in WA
Legal business name
JRK PHARMA INC
Doing business as
Edmonds Pharmacy @ Stevens Health Center LTC
Practice address
21701 76TH Ave W Ste 104B
Edmonds, WA 98026-7536
Phone
(425) 563-6381
Fax
(425) 563-6385
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kris Arumilli
Title
Owner
Phone
(425) 563-6381

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 60180649 WA Primary

Addresses

Primary practice location

21701 76TH Ave W Ste 104B
Edmonds, WA 98026-7536

Mailing address

21701 76TH Ave W Ste 104B
Edmonds, WA 98026-7536
Phone (425) 563-6381

Other identifiers 2

IdentifierTypeStateIssuer
2025334MedicaidWA
2127035OtherPK

Other names 1

  • Edmonds Pharmacy @ Stevens Health Center LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edmonds Pharmacy Stevens Health Center4 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

21701 76th Ave W
Ste 104B
Edmonds, WA 98026
Phone (425) 563-6381

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1811299274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W STE 104B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-563-6381",
            "fax_number": "425-563-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W STE 104B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-563-6381",
            "fax_number": "425-563-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRK PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ARUMILLI",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-563-6381"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WA",
            "license": "60180649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025334",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127035",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edmonds Pharmacy @ Stevens Health Center LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.